NPIMap

Organization Active NPI

Ideal Image

  • Nursing Care Agency
  • Tampa, FL
National Provider Identifier
1073978607
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
9294421 Issued in FL
Legal business name
IDEAL IMAGE
Practice address
17504 Preserve Walk LN
Tampa, FL 33647-3243
Phone
(813) 549-2299
NPI assigned
Dec 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Authorized official

Name
Shelly Atalig
Title
Arnp
Phone
(813) 748-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 9294421 FL Primary

Addresses

Primary practice location

17504 Preserve Walk LN
Tampa, FL 33647-3243

Mailing address

17504 Preserve Walk LN
Tampa, FL 33647-3243
Phone (813) 549-2299

National Provider Directory

National Provider Directory
Tax ID family
Ideal Image3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17504 Preserve Walk Ln
Tampa, FL 33647
Phone (813) 549-2299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1073978607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17504 PRESERVE WALK LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473243",
            "telephone_number": "813-549-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17504 PRESERVE WALK LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473243",
            "telephone_number": "813-549-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL IMAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "ATALIG",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "813-748-1527"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "9294421",
            "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 Dec 26, 2015; 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.