Individual provider Active NPI

Andrea Lucania, APRN-FAMILY PRACTICE

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1831570183
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9269353 Issued in FL
Practice address
10940 Sheldon Rd
Tampa, FL 33626-4701
Phone
(813) 926-4058
Fax
(813) 926-9872
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9269353 FL
Family Nurse Practitioner 363LF0000X 9269353 FL
Nurse Practitioner 363L00000X APRN9269353 FL Primary

Addresses

Primary practice location

10940 Sheldon Rd
Tampa, FL 33626-4701

Mailing address

10940 Sheldon Rd
Tampa, FL 33626-4701
Phone (813) 926-4058

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
I20150811004897 FL Practitioner - Nurse Practitioner 3971818568 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9269353FLMDNurse Practitioner
9269353FLMDFamily Nurse Practitioner
ARNP9269353FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Garcia MD PA CurrentSince Mar 16, 2016 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

21754 State Road 54
#102A
Lutz, FL 33549
Phone (813) 926-4058

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

10940 Sheldon Rd
Tampa, FL 33626
Phone (813) 926-4058

508 S Habana Ave
Ste 210
Tampa, FL 33609
Phone (813) 871-5151

Organizations & group practices 2

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1831570183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-926-4058",
            "fax_number": "813-926-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264701",
            "telephone_number": "813-926-4058",
            "fax_number": "813-926-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCANIA",
        "first_name": "ANDREA",
        "credential": "APRN-FAMILY PRACTICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9269353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9269353",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9269353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.