Individual provider Active NPI

Icledanne Noel-Accilien, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1780154500
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000248 Issued in FL
Practice address
3916 E Jean St
Tampa, FL 33610-1626
Phone
(813) 234-3012
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000248 FL Primary

Addresses

Primary practice location

3916 E Jean St
Tampa, FL 33610-1626

Mailing address

3916 E Jean St
Tampa, FL 33610-1626
Phone (813) 234-3012

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
I20190510001065 FL Practitioner - Nurse Practitioner 4880937036 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000248FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Oct 24, 2020 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Oct 24, 2020 Accepting new patients
Hospitalists Group of Florida PLLC CurrentSince Mar 30, 2019 Accepting new patients

Locations

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2845 SE 3rd Ct
Ocala, FL 34471
Phone (352) 369-5300

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

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

Organizations & group practices 4

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1780154500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 E JEAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101626",
            "telephone_number": "813-234-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 E JEAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101626",
            "telephone_number": "813-234-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL-ACCILIEN",
        "first_name": "ICLEDANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.