Individual provider Active NPI

Gayatri Pandey

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1891474482
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027460 Issued in FL
Practice address
20309 Chestnut Grove Dr
Tampa, FL 33647-3345
Phone
(813) 527-1193
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 11027460 FL Primary

Addresses

Primary practice location

20309 Chestnut Grove Dr
Tampa, FL 33647-3345

Mailing address

20309 Chestnut Grove Dr
Tampa, FL 33647-3345
Phone (813) 527-1193

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
I20240131003213 FL Practitioner - Nurse Practitioner 4981057445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Vascular LLCGroup PAC ID 8123450384, 3 clinicians

Practice addresses (Care Compare)

5880 49TH St N
Suite 206
St Petersburg, FL 33709-2147
Phone (727) 998-3467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027460FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Vascular LLC CurrentSince Jun 10, 2025 Accepting new patients
Florida Family Practice & Urgent Care, LLC CurrentSince Jun 10, 2025 Accepting new patients

Locations

6010 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 544-6367

5880 49th St N
Ste 206
St Petersburg, FL 33709
Phone (727) 526-9899

3450 E Fletcher Ave
Ste 330
Tampa, FL 33613
Phone (727) 999-8346

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: gpandey675768@direct.shands.ufl.edu

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1891474482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20309 CHESTNUT GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473345",
            "telephone_number": "813-527-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20309 CHESTNUT GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473345",
            "telephone_number": "813-527-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "GAYATRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.