Individual provider Active NPI

Nisha Thakkar

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1881366698
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11015017 Issued in FL
Practice address
851 W Lumsden Rd
Brandon, FL 33511-6280
Phone
(872) 231-3162
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11015017 FL Primary

Addresses

Primary practice location

851 W Lumsden Rd
Brandon, FL 33511-6280

Mailing address

PO Box 7410884
Chicago, IL 60674-0884
Phone (702) 899-0595

Other practice location 1

19429 Sandy Springs Cir
Lutz, FL 33558-9736
Phone (516) 507-7653

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
I20211201000482 FL Practitioner - Nurse Practitioner 8729478052 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

Practice addresses (Care Compare)

851 W Lumsden Rd
Hawthorne Village
Brandon, FL 33511-6280
Phone (813) 661-8998

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015017FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants Florida, PLLC CurrentSince Jun 11, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 30, 2023 Accepting new patients
Sun State Hospitalists LLC CurrentSince Jun 1, 2023 Accepting new patients
Nautilus Health Care Group LLC Nurse Practitioner CurrentSince Jan 15, 2024 Accepting new patients
Rmed LLC CurrentSince Feb 1, 2024 Accepting new patients
Rmed LLC Current Accepting new patients
Rmed LLC CurrentSince Feb 1, 2024 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Jan 30, 2023 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Jan 15, 2024 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

701 Victoria St
Brandon, FL 33510
Phone (813) 681-4220

851 W Lumsden Rd
Brandon, FL 33511
Phone (813) 661-8998

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

2020 W Lake Parker Dr
Lakeland, FL 33805
Phone (813) 473-2170

5245 N Socrum Loop Rd
Lakeland, FL 33809
Phone (404) 583-0841

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

13907 N Dale Mabry Hwy
Ste 103
Tampa, FL 33618
Phone (813) 945-8947

1709 N Taliaferro Ave
Tampa, FL 33602
Phone (813) 223-4623

3117 W Gandy Blvd
Tampa, FL 33611
Phone (813) 261-5500

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1881366698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410884",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740884",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116280",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19429 Sandy Springs Cir",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335589736",
            "country_code": "US",
            "telephone_number": "516-507-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "NISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.