Individual provider Active NPI

Jamecia Delice, RD, LDN

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1104403237
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND9796 Issued in FL
Practice address
3000 Medical Park Dr Ste 490
Tampa, FL 33613-6600
Phone
(813) 971-2470
Fax
(813) 971-2491
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND9796 FL Primary

Addresses

Primary practice location

3000 Medical Park Dr Ste 490
Tampa, FL 33613-6600

Mailing address

4107 Chatham Oak CT Apt 311
Tampa, FL 33624-5192
Phone (813) 291-8677

Other practice location 1

4107 Chatham Oak Ct Apt 311
Tampa, FL 33624-5192
Phone (813) 291-8677

Other names 1

  • Jamecia Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917004939 FL Practitioner - Registered Dietitian Or Nutrition Professional 3779024757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

3000 Medical Park Dr
Suite 320
Tampa, FL 33613-4681
Phone (813) 910-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND9796FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Sep 29, 2024 Accepting new patients
University Community Hospital, Inc PastSince Aug 18, 2024 Accepting new patients

Locations

3000 Medical Park Dr
Ste 490
Tampa, FL 33613
Phone (813) 615-7306

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1104403237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 CHATHAM OAK CT APT 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245192",
            "telephone_number": "813-291-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL PARK DR STE 490",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136600",
            "telephone_number": "813-971-2470",
            "fax_number": "813-971-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4107 Chatham Oak Ct Apt 311",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336245192",
            "country_code": "US",
            "telephone_number": "813-291-8677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELICE",
        "first_name": "JAMECIA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMECIA",
            "last_name": "MILLS",
            "credential": "MILLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.