Individual provider Active NPI

Unyime Usoro

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1730698226
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9350169 Issued in FL
Practice address
3901 Coconut Palm Dr
Suite 120
Tampa, FL 33619
Phone
(813) 489-4569
Fax
(865) 769-3454
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9350169 FL
Nurse Practitioner 363L00000X APRN9350169 FL Primary

Addresses

Primary practice location

3901 Coconut Palm Dr
Suite 120
Tampa, FL 33619

Mailing address

3901 Coconut Palm Dr
Suite 120
Tampa, FL 33619-8362
Phone (813) 489-4569

Other identifiers 2

IdentifierTypeStateIssuer
1730698226MedicaidFL
1730698226OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218000503 FL Practitioner - Nurse Practitioner 8224396437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

518 W Fletcher Ave
Tampa, FL 33612-3419
Phone (732) 552-8922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9350169FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Dec 1, 2017 Accepting new patients
Sr Home Healthcare LLC Current Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Dec 1, 2017 Accepting new patients
Medical Director Services PC CurrentSince Jan 26, 2023 Accepting new patients
First Knight Medical Inc CurrentSince Feb 14, 2023 Accepting new patients
Ji Universal Medical Group LLC Nurse Practitioner CurrentSince Dec 1, 2020 Accepting new patients

Locations

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3901 Coconut Palm Dr
Ste 120
Tampa, FL 33619
Phone (813) 289-6597

8903 Regents Park Dr
Ste 120
Tampa, FL 33647
Phone (813) 482-8241

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1730698226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 COCONUT PALM DR",
            "address_2": "SUITE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198362",
            "telephone_number": "813-489-4569",
            "fax_number": "865-769-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 COCONUT PALM DR",
            "address_2": "SUITE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33619",
            "telephone_number": "813-489-4569",
            "fax_number": "865-769-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USORO",
        "first_name": "UNYIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9350169",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9350169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730698226",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1730698226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.