Active NPI
Nefertiti Tate, DIRECTOR
- Adult Companion
- Ellenton, FL
National Provider Identifier
1093106387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 233808
- Practice address
- 945 25TH Dr E Ste 1
Ellenton, FL 34222-2054 - Phone
- (941) 981-5342
- Fax
- (941) 981-5351
- NPI assigned
- Feb 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Private Vehicle | 347C00000X | |||
| Homemaker | 376J00000X | 233808 | FL | |
| Adult Companion | 372600000X | 233808 | FL | Primary |
Addresses
Primary practice location
945 25TH Dr E Ste 1
Ellenton, FL 34222-2054
Mailing address
945 25TH Dr E Ste 1
Ellenton, FL 34222-2054
Phone (941) 981-5342
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233808 | Other | FL | STATE LICENSE |
| 233951 | Other | FL | STATE LICENSE |
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 |
|---|---|---|---|
| 233808 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart 2 Heart Helping Hands, LLC | Day Training, Developmentally Disabled Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Companion
- Ellenton, FL
- NPI 1245898816
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1093106387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 25TH DR E STE 1",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222054",
"telephone_number": "941-981-5342",
"fax_number": "941-981-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 25TH DR E STE 1",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342222054",
"telephone_number": "941-981-5342",
"fax_number": "941-981-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "NEFERTITI",
"credential": "DIRECTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-09",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "233808",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "233808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "233808",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "233951",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellenton, FL
- Krista Lynn Snyder, LMHC
- Sonus-USA, Inc
- Special Care Medical of SC, Inc.
- Richard W Steinberg, DDS
- Vanesa T Stillman, D.M.D
- TDN Dentistry, PLLC (Ellenton Family Dental)
- The Eye Associates of Manatee, LLP (The Optical Gallery)
- Trajana Thomas, PSY.D., LMFT
- Efia Emmila Thompson, NP
- Transform Dental PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.