Active NPI
Tammy C D'Souza, DO
- Adult Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OS13362
- Practice address
- 701 Union St
Kissimmee, FL 34741-5007 - Phone
- (407) 518-5004
- Fax
- (407) 643-9343
- NPI assigned
- Jun 4, 2006
- Last updated
- Jan 29, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS13362 | FL | Primary |
| Family Medicine Physician | 207Q00000X | OS13362 | FL | |
| Family Medicine Physician | 207Q00000X | OP00001702 | WA |
Addresses
Primary practice location
701 Union St
Kissimmee, FL 34741-5007
Mailing address
701 Union St
Kissimmee, FL 34741-5007
Phone (407) 518-5004
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tammy.d'souza@va.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS13362 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients | |
| Good Samaritan Community Healthcare | Family Medicine | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
1324 Lakeland Hills Blvd
Ofc
Lakeland, FL 33805
Phone (863) 687-1177
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
430 E Central Ave
Winter Haven, FL 33880
Phone (863) 284-5061
Interoperability endpoints
- tdsouza17490@lrhs.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
dba Good Samaritan Clinics
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1083652598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 UNION ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415007",
"telephone_number": "407-518-5004",
"fax_number": "407-643-9343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 UNION ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415007",
"telephone_number": "407-518-5004",
"fax_number": "407-643-9343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'SOUZA",
"first_name": "TAMMY",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "OS13362",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS13362",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP00001702",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tammy.d'souza@va.gov",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "701 Union St",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347415007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.