Individual provider Active NPI

Jose Manuel Morales Lopez, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1811569064
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014288 Issued in FL
Practice address
6607 N Dale Mabry Hwy
Tampa, FL 33614-3985
Phone
(813) 499-1500
Fax
(813) 499-1499
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 11014288 FL Primary

Addresses

Primary practice location

6607 N Dale Mabry Hwy
Tampa, FL 33614-3985

Mailing address

6607 N Dale Mabry Hwy
Tampa, FL 33614-3985
Phone (813) 499-1500

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
I20250710000584 FL Practitioner - Nurse Practitioner 1759785397 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014288FLMDFamily Nurse Practitioner

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Humanitary Medical Center, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

731 S Parsons Ave
Brandon, FL 33511
Phone (813) 499-1500

6607 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 499-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811569064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143985",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143985",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES LOPEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.