Active NPI
Eloisa Cristian Abislaiman, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
National Provider Identifier
1093843948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1642602
- 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, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1642602 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agency for Community Treatment Services, Inc. | Current | 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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1104894914
-
- Psychiatry Physician
- Tampa, FL
- NPI 1942256904
-
- Psychiatry Physician
- Tampa, FL
- NPI 1942321963
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1659617215
-
- Clinical Psychologist
- Lakeland, FL
- NPI 1851331086
Psychiatric/Mental Health
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.