Individual provider Active NPI

Audrey Dupree, ARNP

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1861668568
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2151042 Issued in FL
Practice address
4830 W Kennedy Blvd Ste 600
Tampa, FL 33609
Phone
(888) 273-1649
Fax
(844) 466-2531
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 2151042 FL
Adult Health Nurse Practitioner 363LA2200X ARNP2151042 FL Primary

Addresses

Primary practice location

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (154) 549-8506

Other identifiers 1

IdentifierTypeStateIssuer
Y01AROtherFLBLUE CROSS BLUE SHIELD OF FL

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
I20090302000577 FL Practitioner - Nurse Practitioner 1850457706 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2151042FLMDOncology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC CurrentSince Mar 23, 2018 Accepting new patients
FL-I Medical Services LLC CurrentSince Mar 23, 2018 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
NP Health of FL LLC CurrentSince May 1, 2022 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Interoperability endpoints

  • Direct secure messaging: ms_adupre2@landmarkhealth-direct.org

Organizations & group practices 6

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1861668568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "154-549-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "888-273-1649",
            "fax_number": "844-466-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "FL",
            "license": "2151042",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2151042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FL",
            "identifier": "Y01AR",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.