Active NPI
Jayashree Budhiraja, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1851157879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11026527
- Practice address
- 3000 Medical Park Dr Ste 250
Tampa, FL 33613-4679 - Phone
- (813) 632-6220
- Fax
- (813) 971-5893
- NPI assigned
- Feb 27, 2024
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11026527 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr Ste 250
Tampa, FL 33613-4679
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500
Other practice location 1
3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone (813) 875-3950
Other practice location 2
403 S Kings Ave Ste 100
Brandon, FL 33511-5962
Phone (813) 982-3460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121598100 | Medicaid | FL |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11026527 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1851157879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-432-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR STE 250",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134679",
"telephone_number": "813-632-6220",
"fax_number": "813-971-5893"
}
],
"practiceLocations": [
{
"address_1": "3402 W Dr Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076214",
"country_code": "US",
"telephone_number": "813-875-3950",
"fax_number": "813-872-2741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 S Kings Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115962",
"country_code": "US",
"telephone_number": "813-982-3460",
"fax_number": "813-982-3461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUDHIRAJA",
"first_name": "JAYASHREE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11026527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121598100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.