Individual provider Active NPI

Renae C Lucien, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1821434689
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9213472 Issued in FL
Practice address
4503 N Armenia Ave
Tampa, FL 33603-2745
Phone
(813) 873-1177
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 ARNP9213472 FL Primary

Addresses

Primary practice location

4503 N Armenia Ave
Tampa, FL 33603-2745

Mailing address

4118 N Macdill Ave
Tampa, FL 33607-6717
Phone (813) 870-0395

Other practice location 1

4118 N Macdill Ave
Tampa, FL 33607-6717
Phone (813) 870-0395

Other practice location 2

19037 N Dale Mabry Hwy
Lutz, FL 33548-4982
Phone (813) 873-1177

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
I20141111000178 FL Practitioner - Nurse Practitioner 7012139868 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denise Y Alveranga and Eugene a Ward MD PA Past Accepting new patients
Florida Pediatric Associates, LLC PastSince Oct 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: renae.lucien.1@18455.direct.athenahealth.com

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1821434689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 N MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076717",
            "telephone_number": "813-870-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032745",
            "telephone_number": "813-873-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4118 N Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076717",
            "country_code": "US",
            "telephone_number": "813-870-0395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19037 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335484982",
            "country_code": "US",
            "telephone_number": "813-873-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIEN",
        "first_name": "RENAE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9213472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.