Individual provider Active NPI

Yanet D. Perez Parra, ARNP

  • General Practice Registered Nurse
  • Tampa, FL
National Provider Identifier
1942642301
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
ARNP9314862 Issued in FL
Practice address
6821 W Hillsborough Ave Ste 10-11
Tampa, FL 33634
Phone
(813) 609-3983
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP-9314862 FL
General Practice Registered Nurse 163WG0000X ARNP9314862 FL Primary

Addresses

Primary practice location

6821 W Hillsborough Ave Ste 10-11
Tampa, FL 33634

Mailing address

6821 W Hillsborough Ave Ste 10-11
Tampa, FL 33634-5003
Phone (813) 609-3983

Other practice location 1

6821 W Hillsborough Ave Ste 10-11
Tampa, FL 33634
Phone (813) 609-3983

Other identifiers 1

IdentifierTypeStateIssuer
ARNP-9314862OtherFLPROFESSIONAL LICENSE

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
I20150114001458 FL Practitioner - Nurse Practitioner 4789908062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6821 W Hillsborough Ave
Suite 10 11
Tampa, FL 33634-5003
Phone (813) 609-3983

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9314862FLMDGeneral Practice Registered Nurse
ARNP-9314862FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Medical Center of Tampa Inc CurrentSince Apr 1, 2021 Accepting new patients
Medcentral Corporation CurrentSince Nov 1, 2018 Accepting new patients
My Pharmacy of Tampa LLC PastSince Nov 1, 2018 Accepting new patients

Locations

7108 Causeway Blvd
Tampa, FL 33619
Phone (813) 628-4400

6821 W Hillsborough Ave
Ste 1011
Tampa, FL 33634
Phone (813) 609-3983

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1942642301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 W HILLSBOROUGH AVE STE 10-11",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345003",
            "telephone_number": "813-609-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 W HILLSBOROUGH AVE STE 10-11",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "813-609-3983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6821 W Hillsborough Ave Ste 10-11",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33634",
            "country_code": "US",
            "telephone_number": "813-609-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ PARRA",
        "first_name": "YANET",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP-9314862",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "ARNP9314862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "ARNP-9314862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.