Organization Active NPI

Integrated Practice Associates, PLLC

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1902501463
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
INTEGRATED PRACTICE ASSOCIATES, PLLC
Practice address
4348 Waterford Landing Dr
Lutz, FL 33558-9726
Phone
(813) 300-7813
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Kumar Jairamdas, DNP, APRN
Title
Clinic Director/Owner
Phone
(813) 300-7813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4348 Waterford Landing Dr
Lutz, FL 33558-9726

Mailing address

3959 Van Dyke Rd Ste 390
Lutz, FL 33558-8025
Phone (813) 300-7813

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1902501463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 VAN DYKE RD STE 390",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588025",
            "telephone_number": "813-300-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 WATERFORD LANDING DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589726",
            "telephone_number": "813-300-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PRACTICE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "JAIRAMDAS",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "813-300-7813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.