Tanya Rita Jilkevorkian

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11018902 Issued in FL

Practice address

222 S Westmonte Dr Ste 230
Altamonte Springs, FL 32714-4269

Phone

(689) 263-5844

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Florida Inpatient Medicine LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1649228859
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Hue Renew Integrative Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Altamonte Springs, FL
  • NPI 1528999810
  NPD Authorized official
• Azalea Health and Wellness

  • Family Nurse Practitioner
  • Coolidge, AZ
  • NPI 1073297206
  NPD Authorized official
• American Neuropathy Institute LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1528892049
  NPD (past)
• Charles E. Williams, M.D.P.a.

  • Family Medicine Physician
  • Winter Park, FL
  • NPI 1720388317
  NPD (past)

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1003564014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WESTMONTE DR STE 230",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144269",
            "telephone_number": "689-263-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WESTMONTE DR STE 230",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144269",
            "telephone_number": "689-263-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 Page Mill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943062073",
            "country_code": "US",
            "telephone_number": "689-263-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 N Desert Ln",
            "address_purpose": "LOCATION",
            "city": "Coolidge",
            "state": "AZ",
            "postal_code": "851288622",
            "country_code": "US",
            "telephone_number": "689-263-5844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4254 W Orchid Ln",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852267246",
            "country_code": "US",
            "telephone_number": "689-263-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JILKEVORKIAN",
        "first_name": "TANYA",
        "middle_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020371",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "247800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "855699",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11018902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11018902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Jennings, PSY.D.
• Jerome a Africk M D P a
• Jerri L. Johnson, M.D., P.a.
• Jessicadavisceo, LLC
• Yuchen Jiang, MD
• Carlos Alberto Jimenez, PA
• Melissa Jimenez
• Jimmy L. Wilson, Inc
• Warit Jithpratuck, MD
• Shelina Jiwani

• Nurse Practitioner in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.