Individual provider Active NPI

Takeshanicole Mary Schwartz, APRN

  • Family Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1104290378
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9327592 Issued in FL
Practice address
7777 131St St Ste 14
Seminole, FL 33776-4015
Phone
(813) 680-1600
Fax
(813) 430-0942
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9327592 FL Primary

Addresses

Primary practice location

7777 131St St Ste 14
Seminole, FL 33776-4015

Mailing address

10627 Dawns Light Dr
Riverview, FL 33578-6107
Phone (417) 619-0660

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001301 FL Practitioner - Nurse Practitioner 7911293162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nocturnist Health, LLC CurrentSince Nov 8, 2023 Accepting new patients

Locations

7777 131st St
Ste 14
Seminole, FL 33776
Phone (727) 336-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGAIDD/Endpoint/BGAIDD
  • Direct secure messaging: takeshanicole.ziemblicki@947649526169604.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1104290378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 DAWNS LIGHT DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335786107",
            "telephone_number": "417-619-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 131ST ST STE 14",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337764015",
            "telephone_number": "813-680-1600",
            "fax_number": "813-430-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "TAKESHANICOLE",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9327592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.