Individual provider Active NPI

Eloisa Cristian Abislaiman, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1093843948
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1642602 Issued in FL
Practice address
16554 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone
(813) 631-1010
Fax
(813) 971-1804
NPI assigned
Mar 1, 2007
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1642602 FL Primary

Addresses

Primary practice location

16554 N Dale Mabry Hwy
Tampa, FL 33618-1325

Mailing address

16366 Ashington Park Dr
Tampa, FL 33647-2639
Phone (813) 459-0926

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1642602FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agency for Community Treatment Services, Inc. CurrentSince Feb 21, 2017 Accepting new patients
The Institute for Family Learning Inc. Past Accepting new patients
Vericare of Florida, Inc. Psychiatric/Mental Health Past Accepting new patients
Gonzalez Walker & Webb MD Past Accepting new patients
Kenneth P Pages MD PA Past Accepting new patients

Locations

4612 N 56th St
Tampa, FL 33610
Phone (813) 246-4899

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1093843948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16366 ASHINGTON PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472639",
            "telephone_number": "813-459-0926",
            "fax_number": "813-388-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16554 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-631-1010",
            "fax_number": "813-971-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABISLAIMAN",
        "first_name": "ELOISA",
        "middle_name": "CRISTIAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1642602",
            "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 Nov 9, 2018; 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.