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BREONNA AMYA RACOMA
NPI 1083562235
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since March 20, 2026
4401 N HIMES AVE STE 175, TAMPA, FL 33614(813) 393-3800 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breonna Amya Racoma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREONNA AMYA RACOMA (NPI 1083562235) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1083562235
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREONNA AMYA RACOMA
Location Address4401 N HIMES AVE STE 175Tampa, FL 33614-7095
Mailing Address4401 N Himes Ave Ste 175Tampa, FL 33614-7095
Phone(813) 393-3800
Sole ProprietorNo
Enumeration DateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1083562235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4401 N HIMES AVE STE 175, Tampa, FL 33614
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ANNE ELLIS PA-C
Physician Assistant (Medical)
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-5100
MS. JASMINE ATKINS FNP-BC
Nurse Practitioner
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 972-2000
PEYTON ELISABETH OLSON
Physician Assistant
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800
LILLIAN RENEE HEWITT
Student in an Organized Health Care Education/Training Program
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800
KELSEY RANDALL PA
Physician Assistant
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800
SUSAN NATHALIE GUZMAN PA
Physician Assistant
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800
ARIANNA DANIELLE ASTOR PA-C
Physician Assistant
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800
KIMVI NGUYEN
Physician Assistant
4401 N HIMES AVE STE 175
TAMPA, FL 33614
Hillsborough County (813) 393-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breonna Racoma's NPI number?

The NPI number for Breonna Racoma is 1083562235. It was assigned to this individual provider in the NPPES registry on March 20, 2026.

Where is Breonna Racoma located?

Breonna Racoma practices at 4401 N Himes Ave Ste 175, Tampa, FL 33614. The listed phone number is (813) 393-3800.

What is Breonna Racoma's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breonna Racoma was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.