INCHARGECLINIC
NPI 1093448102
Nurse Practitioner - Adult Health in Riverview, FL

NPI Status: Active since July 06, 2022

Contact Information

12250 BLUE PACIFIC DR
RIVERVIEW, FL
ZIP 33579
Phone: (813) 955-9734
Fax: (813) 366-8789

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  • Organization
  • Nurse Practitioner
  • Adult Health

About INCHARGECLINIC

This page provides the complete NPI Profile along with additional information for Inchargeclinic, a provider established in Riverview, Florida operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1093448102 assigned on July 2022. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated February 2025. Inchargeclinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Jill Marshall-allen Aprn Cws Faccws (Mmgr)

NPI
1093448102
Provider Legal Name
INCHARGECLINIC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
12250 BLUE PACIFIC DR RIVERVIEW, FL 33579
Location Phone
(813) 955-9734
Location Fax
(813) 366-8789
Mailing Address
12250 BLUE PACIFIC DR RIVERVIEW, FL 33579
Mailing Fax
(813) 366-8789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2022
Last Update Date
02-27-2025
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A nurse practitioner (NP) like Inchargeclinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1173000000XOther Service Providers

Legal Medicine

 
2174400000XOther Service Providers

Specialist

 
3261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JILL MARSHALL-ALLEN APRN CWS FACCWS

Authorized Official Title
MMGR
Authorized Official Phone
(813) 530-9666

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093448102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183841610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 8 + 4 + 1 + 6 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1093448102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881229532WOUND AND MEDICAL OUTREACH CLINIC LLC
Organization
Nurse Practitioner12250 BLUE PACIFIC DR
RIVERVIEW, FL 33579
(813) 777-1591

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093448102, enumerated in the NPI registry as an "organization" on July 06, 2022

The provider is located at 12250 Blue Pacific Dr Riverview, Fl 33579 and the phone number is (813) 955-9734

This medical organization specializes in Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health

This NPI record was last updated on July 06, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.