Active NPI
Tina Biddle, RN
- Registered Nurse
- Panama City, FL
National Provider Identifier
1043715550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9479607
- Practice address
- 525 E 15TH St
Panama City, FL 32405-5412 - Phone
- (850) 522-4485
- Fax
- (850) 547-1709
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9479607 | FL | Primary |
Addresses
Primary practice location
525 E 15TH St
Panama City, FL 32405-5412
Mailing address
2046 Bevens Biddle Dr
Bonifay, FL 32425-5316
Other practice location 1
310 E Byrd Ave
Bonifay, FL 32425-3068
Phone (850) 547-5114 ext. 4029
Other practice location 2
4094 Lafayette St
Marianna, FL 32446-5648
Phone (850) 482-7441 ext. 4316
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9479607 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1043715550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 BEVENS BIDDLE DR",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324255316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055412",
"telephone_number": "850-522-4485",
"fax_number": "850-547-1709"
}
],
"practiceLocations": [
{
"address_1": "310 E Byrd Ave",
"address_purpose": "LOCATION",
"city": "Bonifay",
"state": "FL",
"postal_code": "324253068",
"country_code": "US",
"telephone_number": "850-547-5114 x4029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4094 Lafayette St",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324465648",
"country_code": "US",
"telephone_number": "850-482-7441 x4316",
"fax_number": "850-482-4164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIDDLE",
"first_name": "TINA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9479607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.