Jenna Leigh Tillett, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000831 Issued in FL

Practice address

14105 McCormick Dr # NA
Tampa, FL 33626-3019

Phone

(813) 481-0064

NPI assigned

Jan 8, 2019

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CT, TX, GA4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHHAA/Endpoint/AEHHAA
• Direct secure messaging: jenna.tillett@746395612545028.direct.elationemr.com

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.

• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013
  Medicare reassignment NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Family

  Medicare reassignment NPD
• Sprinter Medical West PC

  • Family Medicine Physician
  • Menlo Park, CA
  • NPI 1790368702

  TX

  Medicare reassignment NPD
• Valley Healthcare System Inc

  • Federally Qualified Health Center (FQHC)
  • Fortson, GA
  • NPI 1952599623
  Medicare reassignment NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Punta Gorda, FL
  • NPI 1174336119
  NPD
• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Titusville

  • Urgent Care Clinic/Center
  • Titusville, FL
  • NPI 1750913091

  Family

  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Melbourne

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Family

  NPD
• Neighborhood Health, Inc.

  dba HHC Neighborhood Health

  • General Practice Physician
  • Torrington, CT
  • NPI 1043544489

  Family

  NPD
• Valley Healthcare System

  • Federally Qualified Health Center (FQHC)
  • Columbus, GA
  • NPI 1851924377
  NPD
• Valley Healthcare System Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, GA
  • NPI 1609814219
  NPD

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1023581436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S FARKAS RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335671724",
            "telephone_number": "813-481-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 MCCORMICK DR # NA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263019",
            "telephone_number": "813-481-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLETT",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Jean Tignor, CRNA
• Diana Maria Tigoudar
• Sheridan Tihista
• Elizabeth Ann Tilka, D.C.
• Jennifer Darlene Tiller, MD
• Chenette Tillman
• Katherine Tillman
• Quankela Tillman
• Tywaun Kretrica Tillman, MD
• Jacquelyn Tillwick, MSW

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.