Individual provider Active NPI

Christina Tremblay, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1003325648
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110667 Issued in FL
Practice address
8625 Collier Blvd
Naples, FL 34114-3550
Phone
(239) 732-0044
Fax
(239) 732-0094
NPI assigned
Sep 27, 2017
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110667 FL Primary
Dermatology Physician 207N00000X PA9110667 FL

Addresses

Primary practice location

8625 Collier Blvd
Naples, FL 34114-3550

Mailing address

8625 Collier Blvd
Naples, FL 34114-3550
Phone (239) 732-0044

Other practice location 1

1300 Goodlette Rd
Naples, FL 34102-5243
Phone (239) 732-0044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctremblay@swp.emadirect.md

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214002070 FL Practitioner - Physician Assistant 3476811704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Physicians LLCGroup PAC ID 7911125661, 9 clinicians

Practice addresses (Care Compare)

8625 Collier Blvd
Naples, FL 34114-3601
Phone (239) 732-0044

Merit-based Incentive Payment System (MIPS)

Final score
83.52 of 100Reported as individual
Quality
70.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Wellness Physicians, LLC Single Specialty Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ctremblay@swp.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1003325648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Goodlette Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025243",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMBLAY",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110667",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9110667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctremblay@swp.emadirect.md",
            "affiliation": "N",
            "address_1": "8625 Collier Blvd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341143550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.