Individual provider Active NPI

Shahla Goodarzi Amrooei, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1922089838
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1895612 Issued in FL
Practice address
1919 W Swann Ave FL 3
Tampa, FL 33606-2417
Phone
(813) 254-8055
Fax
(813) 443-8163
NPI assigned
Nov 8, 2005
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 ARNP1895612 FL Primary

Addresses

Primary practice location

1919 W Swann Ave FL 3
Tampa, FL 33606-2417

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6775

Other practice location 1

1246 Ray Charles Blvd
Tampa, FL 33602-3028
Phone (813) 462-9460

Other identifiers 1

IdentifierTypeStateIssuer
3072070-00MedicaidFL

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
I20051019000392 FL Practitioner - Nurse Practitioner 6507882586 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1895612FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Community Care Inc CurrentSince Jul 26, 2016 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 26, 2021 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 26, 2021 Accepting new patients
Baycare Medical Group Pediatric Walk-in, LLC Past Accepting new patients
Baycare Medical Group Pediatric Walk-in Care LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

11612 N Nebraska Ave
#A
Tampa, FL 33612
Phone (813) 977-5700

1246 Ray Charles Blvd
Tampa, FL 33602
Phone (727) 753-7787

1919 W Swann Ave
Fl 3
Tampa, FL 33606
Phone (813) 254-7079

3550 W Waters Ave
Tampa, FL 33614
Phone (813) 776-6884

3550 W Waters Ave
Ste 110
Tampa, FL 33614
Phone (813) 886-8899

4902 Eisenhower Blvd
Ste 300
Tampa, FL 33634
Phone (813) 636-2000

Interoperability endpoints

  • Direct secure messaging: shahla.amrooei@direct.mybaycare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1922089838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-6775",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W SWANN AVE FL 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062417",
            "telephone_number": "813-254-8055",
            "fax_number": "813-443-8163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1246 Ray Charles Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336023028",
            "country_code": "US",
            "telephone_number": "813-462-9460",
            "fax_number": "813-605-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMROOEI",
        "first_name": "SHAHLA",
        "middle_name": "GOODARZI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1895612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072070-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.