Individual provider Active NPI

Jacquelyn Sousa, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1871003798
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9412358 Issued in FL
Practice address
3001 N Rocky Point Dr E Ste 125
Tampa, FL 33607-5808
Phone
(813) 288-0023
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 9412358 FL Primary

Addresses

Primary practice location

3001 N Rocky Point Dr E Ste 125
Tampa, FL 33607-5808

Mailing address

3001 N Rocky Point Dr E Ste 125
Tampa, FL 33607-5808
Phone (813) 282-0223

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
9412358FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Hunt, DO, PA CurrentSince Jun 23, 2024 Accepting new patients
Tranquilite, LLC PastSince Jun 23, 2024 Accepting new patients

Locations

3001 N Rocky Point Dr E
Ste 125
Tampa, FL 33607
Phone (813) 282-0223

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1871003798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR E STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075808",
            "telephone_number": "813-282-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ROCKY POINT DR E STE 125",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075808",
            "telephone_number": "813-288-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "JACQUELYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9412358",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 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.

Verify at the official NPI Registry.