Individual provider Active NPI

Leandra Medina, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1801769120
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042424 Issued in FL
Practice address
5112 N Habana Ave
Tampa, FL 33614-6873
Phone
(813) 374-2406
Fax
(813) 374-2407
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11042424 FL Primary

Addresses

Primary practice location

5112 N Habana Ave
Tampa, FL 33614-6873

Mailing address

4615 Country Hills Dr
Tampa, FL 33624-1602
Phone (813) 374-2406

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
I20251113002026 FL Practitioner - Nurse Practitioner 3678064060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5112 N Habana Ave
Tampa, FL 33614-6873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11042424FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accord Medical Group,PLLC Single Specialty CurrentSince Sep 30, 2025 Accepting new patients

Locations

5112 N Habana Ave
Tampa, FL 33614
Phone (813) 374-2406

14499 N Dale Mabry Hwy
Ste 180S
Tampa, FL 33618
Phone (813) 340-4866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1801769120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 COUNTRY HILLS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241602",
            "telephone_number": "813-374-2406",
            "fax_number": "813-374-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406",
            "fax_number": "813-374-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "LEANDRA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.