Active NPI
Tenika N Roman, SA-C, LSA
- Surgical Assistant
- Wesley Chapel, FL
National Provider Identifier
1073953196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 13191
- Practice address
- 27609 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837 - Phone
- (813) 482-2289
- Fax
- (214) 764-0880
- NPI assigned
- Jul 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 13191 | FL | Primary |
| Perioperative Clinical Nurse Specialist | 364SP2800X | 13191 | FL |
Addresses
Primary practice location
27609 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837
Mailing address
27609 Pleasure Ride Loop
Wesley Chapel, FL 33544-1837
Phone (813) 482-2289
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 |
|---|---|---|---|
| 13191 | FL | MD | Perioperative Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381104000000",
"number": "1073953196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27609 PLEASURE RIDE LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335441837",
"telephone_number": "813-482-2289",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27609 PLEASURE RIDE LOOP",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335441837",
"telephone_number": "813-482-2289",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "TENIKA",
"middle_name": "N",
"credential": "SA-C, LSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2013-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "13191",
"primary": true
},
{
"code": "364SP2800X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Perioperative",
"state": "FL",
"license": "13191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.