Individual provider Active NPI

Mahsa Arefan-Yazdi, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1841582772
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9205976 Issued in FL
Practice address
2595 Tampa Rd
Suite P
Palm Harbor, FL 34684
Phone
(727) 771-7200
Fax
(727) 216-1396
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9205976 FL
Family Nurse Practitioner 363LF0000X APRN9205976 FL Primary

Addresses

Primary practice location

2595 Tampa Rd
Suite P
Palm Harbor, FL 34684

Mailing address

519 E Bloomingdale Ave
Ste a
Brandon, FL 33511-8180
Phone (727) 771-7200

Other practice location 1

519A E Bloomingdale Ave Ste A
Brandon, FL 33511-8105
Phone (813) 655-4100

Other practice location 2

13111 US Highway 301 S
Riverview, FL 33578-7401
Phone (813) 671-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9205976FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Harbor Spine Center Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1841582772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BLOOMINGDALE AVE",
            "address_2": "STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118180",
            "telephone_number": "727-771-7200",
            "fax_number": "727-216-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "SUITE P",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-771-7200",
            "fax_number": "727-216-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519A E Bloomingdale Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335118105",
            "country_code": "US",
            "telephone_number": "813-655-4100",
            "fax_number": "813-655-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13111 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787401",
            "country_code": "US",
            "telephone_number": "813-671-0064",
            "fax_number": "813-672-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREFAN-YAZDI",
        "first_name": "MAHSA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9205976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9205976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.