Individual provider Active NPI

Abigail Young Cobarras, APRN

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1841956604
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016588 Issued in FL
Practice address
6633 Waterton Dr
Riverview, FL 33578-1311
Phone
(813) 442-9312
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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 APRN11016588 FL Primary

Addresses

Primary practice location

6633 Waterton Dr
Riverview, FL 33578-1311

Mailing address

6633 Waterton Dr
Riverview, FL 33578-1311
Phone (813) 442-9312

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
I20221121001313 FL Practitioner - Nurse Practitioner 6901274059 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016588FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Oct 10, 2022 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Oct 10, 2022 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

313 S Lakewood Dr
Brandon, FL 33511
Phone (813) 349-7900

1729 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 686-0082

801 E Baker St
Plant City, FL 33563
Phone (813) 349-7635

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

7728 Palm River Rd
Tampa, FL 33619
Phone (813) 630-3600

Interoperability endpoints

  • Direct secure messaging: abigail.cobarras.1@26845.direct.athenahealth.com

Organizations & group practices 3

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1841956604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 WATERTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335781311",
            "telephone_number": "813-442-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 WATERTON DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335781311",
            "telephone_number": "813-442-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBARRAS",
        "first_name": "ABIGAIL",
        "middle_name": "YOUNG",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.