Individual provider Active NPI

Tansha Fuller

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1033717236
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8606 N 10TH St
Tampa, FL 33604-1712
Phone
(813) 638-4273
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X F46081979620 FL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

8606 N 10TH St
Tampa, FL 33604-1712

Mailing address

8606 N 10TH St
Tampa, FL 33604-1712
Phone (813) 638-4273

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Tanshafuller@ymail.com Health Information Exchange (HIE)
Direct Messaging Address Tanshafuller@ymail.com Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F46081979620FLMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1033717236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 N 10TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041712",
            "telephone_number": "813-638-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 N 10TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041712",
            "telephone_number": "813-638-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "TANSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "F46081979620",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tanshafuller@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Tanshafuller@ymail com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8606 N 10th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336041712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tanshafuller@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Tanshafuller@ymail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "8606 n 10th street",
            "address_1": "8606 N 10th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336041712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.