RAISSA PRISCA MABAYA FNP-BC NPI 1619541398

NPI Information

  • NPI: 1619541398
  • Provider Name: RAISSA PRISCA MABAYA, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4406 S FLORIDA AVE STE 17
    LAKELAND, FL
    ZIP 33813
  • Phone: (888) 646-5088

Map and Directions

Get Directions

NPI Details

Raissa Prisca Mabaya, FNP-BC is a family nurse practitioner in Lakeland, FL. Raissa Prisca Mabaya, FNP-BC NPI is 1619541398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4406 S FLORIDA AVE STE 17
LAKELAND, FL
ZIP 33813-182
Phone: (888) 646-5088

The NPI 1619541398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 5/17/2021 and was last updated on 3/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024180342VIRGINIANo
2363LF0000XNurse PractitionerFamilyAPRN11023022FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI