Individual provider Active NPI

Lorena Yao Radney, APRN

  • Primary Care Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1982901807
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9368171 Issued in FL
Practice address
11211 N Nebraska Ave Ste A5
Tampa, FL 33612-5767
Phone
(813) 514-2333
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9368171 FL
Gerontology Nurse Practitioner 363LG0600X APRN9368171 FL
Primary Care Nurse Practitioner 363LP2300X APRN9368171 FL Primary

Addresses

Primary practice location

11211 N Nebraska Ave Ste A5
Tampa, FL 33612-5767

Mailing address

8710 N 27TH St
Tampa, FL 33604-2201
Phone (813) 951-7423

Other practice location 1

5307 Main St
New Port Richey, FL 34652
Phone (727) 900-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190430002933 FL Practitioner - Nurse Practitioner 7012259674 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9368171FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc CurrentSince Apr 15, 2019 Accepting new patients
American Care of North Florida, Inc CurrentSince Apr 15, 2019 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

5307 Main St
New Port Richey, FL 34652
Phone (727) 900-7788

11211 N Nebraska Ave
Ste A5
Tampa, FL 33612
Phone (813) 514-2333

Organizations & group practices 2

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1982901807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 N 27TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042201",
            "telephone_number": "813-951-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 N NEBRASKA AVE STE A5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125767",
            "telephone_number": "813-514-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5307 Main St",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "34652",
            "country_code": "US",
            "telephone_number": "727-900-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADNEY",
        "first_name": "LORENA",
        "middle_name": "YAO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9368171",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9368171",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9368171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.