Active NPI
Jessy Kulangara
- Registered Nurse
- Tampa, FL
National Provider Identifier
1881362093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1749262
- Practice address
- 3030 W MLK Blvd
Tampa, FL 33607-6308 - Phone
- (813) 453-2867
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1749262 | FL | Primary |
Addresses
Primary practice location
3030 W MLK Blvd
Tampa, FL 33607-6308
Mailing address
311 Harts Oak PL
Seffner, FL 33584-4769
Phone (813) 453-2867
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1749262 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1881362093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 HARTS OAK PL",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335844769",
"telephone_number": "813-453-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 W MLK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076308",
"telephone_number": "813-453-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULANGARA",
"first_name": "JESSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN1749262",
"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 Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.