Individual provider Active NPI

Margrethe Pulido-Kim, APRN

  • Acute Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1750014171
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11018481 Issued in FL
Practice address
3000 Medical Park Dr Ste 320
Tampa, FL 33613-4681
Phone
(813) 910-0027
Fax
(813) 971-1286
NPI assigned
Jul 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11018481 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 320
Tampa, FL 33613-4681

Mailing address

8114 Fishermans Pointe Dr
Temple Terrace, FL 33637-1808
Phone (813) 476-9400

Other practice location 1

4700 N Habana Ave Ste 201
Tampa, FL 33614-7117
Phone (813) 279-8449

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Premierveinandvascular.org

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
I20230224000265 FL Practitioner - Nurse Practitioner 8426421363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Apr 10, 2023 Accepting new patients

Locations

3000 Medical Park Dr
Ste 320
Tampa, FL 33613
Phone (813) 336-5766

4700 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (727) 527-5100

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mpulidokim1168586@adventhealth.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1750014171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 FISHERMANS POINTE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336371808",
            "telephone_number": "813-476-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134681",
            "telephone_number": "813-910-0027",
            "fax_number": "813-971-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Habana Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147117",
            "country_code": "US",
            "telephone_number": "813-279-8449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULIDO-KIM",
        "first_name": "MARGRETHE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11018481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Premierveinandvascular.org",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "address_1": "4700 N Habana Ave Ste 201",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336147117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.