Active NPI
Jan Lorraine C David, APRN
- Family Nurse Practitioner
- Temple Terrace, FL
National Provider Identifier
1922497155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9269204
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- NPI assigned
- Jan 12, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9269204 | FL | Primary |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113553000 | Medicaid | FL |
Other names 1
- Jan Lorraine Chua
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200110000601 | FL | Practitioner - Nurse Practitioner | 1557796075 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pioneer Medical Group PL
Practice addresses (Care Compare)
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Hospital & facility affiliations
- St Josephs Hospital
- Adventhealth Tampa
- Adventhealth Zephyrhills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9269204 | FL | MD | Family Nurse Practitioner |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Alvior MD LLC | Current | Accepting new patients | |
| Pioneer Medical Group, PL | Family | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Family | Current | Accepting new patients |
Locations
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
1905 W Busch Blvd
Tampa, FL 33612
Phone (813) 365-3525
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1922497155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "JAN LORRAINE",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9269204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113553000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAN LORRAINE",
"last_name": "CHUA",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.