Active NPI
Julia Ruth Undella, LMT
- Specialist
- Tampa, FL
National Provider Identifier
1063851384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA70740
- Practice address
- 7402 Park Dr
Tampa, FL 33610-1060 - Phone
- (813) 376-2923
- NPI assigned
- Jun 19, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA70740 | FL | Primary |
Addresses
Primary practice location
7402 Park Dr
Tampa, FL 33610-1060
Mailing address
7402 Park Dr
Tampa, FL 33610-1060
Phone (813) 376-2923
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA70740 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1063851384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7402 PARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336101060",
"telephone_number": "813-376-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 PARK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336101060",
"telephone_number": "813-376-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDELLA",
"first_name": "JULIA",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA70740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.