Individual provider Active NPI

Tiffany Kristine Lamarca, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Englewood, FL
National Provider Identifier
1003366949
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9411338 Issued in FL
Practice address
2061 Englewood Rd Ste 5
Englewood, FL 34223
Phone
(941) 473-8881
Fax
(941) 475-0801
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9411338 FL Primary

Addresses

Primary practice location

2061 Englewood Rd Ste 5
Englewood, FL 34223

Mailing address

2061 Englewood Rd Ste 5
Englewood, FL 34223-1749
Phone (941) 473-8881

Other practice location 1

2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone (941) 861-2719

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9411338FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1003366949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD STE 5",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231749",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD STE 5",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34223",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Ringling Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342376102",
            "country_code": "US",
            "telephone_number": "941-861-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMARCA",
        "first_name": "TIFFANY",
        "middle_name": "KRISTINE",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9411338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.