Individual provider Active NPI

Mohammed Nasir Uddin

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1952043739
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019154 Issued in FL
Practice address
302 W Fletcher Ave
Tampa, FL 33612-3415
Phone
(813) 866-0930
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 APRN11019154 FL Primary

Addresses

Primary practice location

302 W Fletcher Ave
Tampa, FL 33612-3415

Mailing address

20248 Merry Oak Ave
Tampa, FL 33647-3642
Phone (813) 810-9158

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
I20220627002545 FL Practitioner - Nurse Practitioner 4183003866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

6216 E Sligh Ave
Tampa, FL 33617-9105
Phone (813) 397-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc CurrentSince Jun 17, 2022 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jun 17, 2022 Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 284-4554

19203 N Dale Mabry Hwy
Lutz, FL 33548

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

302 W Fletcher Ave
Tampa, FL 33612

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

12410 N Nebraska Ave
Tampa, FL 33612

13018 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 284-4554

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

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, 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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1952043739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20248 MERRY OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473642",
            "telephone_number": "813-810-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123415",
            "telephone_number": "813-866-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MOHAMMED",
        "middle_name": "NASIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.