Active NPI
Jorayn Lundy, ARNP
- Adult Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1992016950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9243951
- Practice address
- 5802 N 30TH St
Tampa, FL 33610-1469 - Phone
- (813) 236-5100
- Fax
- (813) 236-5135
- NPI assigned
- Jun 24, 2010
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9243951 | FL | Primary |
Addresses
Primary practice location
5802 N 30TH St
Tampa, FL 33610-1469
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y09KG | Other | FL | BLUE CROSS BLUE SHIELD |
| 004394000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1992016950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 N 30TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336101469",
"telephone_number": "813-236-5100",
"fax_number": "813-236-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "JORAYN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9243951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y09KG",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004394000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.