Individual provider Active NPI

Idelis Fedeslinda Arias de la Torre

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1871202911
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11022909 Issued in FL
Practice address
3105 W Waters Ave Ste 102
Tampa, FL 33614-2869
Phone
(813) 269-2920
Fax
(813) 269-2921
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11022909 FL Primary

Addresses

Primary practice location

3105 W Waters Ave Ste 102
Tampa, FL 33614-2869

Mailing address

408 Valencia Park Dr
Seffner, FL 33584-5496
Phone (850) 291-4584

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
I20230119000532 FL Practitioner - Nurse Practitioner 0244601888 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11022909FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Years Ahead Medical Center LLC Psychiatric/Mental Health CurrentSince Sep 26, 2025 Accepting new patients
Gulf Bay Care LLC CurrentSince Sep 3, 2025 Accepting new patients
Tampa Bay Mental Health, LLC CurrentSince Apr 1, 2025 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients

Locations

8019 N Himes Ave
Ste 311
Tampa, FL 33614
Phone (813) 405-4428

3105 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 269-2920

4728 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (813) 906-2080

3105 W Waters Ave
Ste 212
Tampa, FL 33614
Phone (813) 269-2920

Organizations & group practices 5

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1871202911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VALENCIA PARK DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845496",
            "telephone_number": "850-291-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS DE LA TORRE",
        "first_name": "IDELIS",
        "middle_name": "FEDESLINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11022909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.