Active NPI
Tampa Bay First Assist
- Nursing Care Agency
- Land O Lakes, FL
National Provider Identifier
1104904234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- RN2148562
- Legal business name
- TAMPA BAY FIRST ASSIST
- Practice address
- 7920 Citrus Blossom Dr
Land O Lakes, FL 34637-7477 - Phone
- (813) 300-5832
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Martin Campbell Sr., RNFA
- Title
- President
- Phone
- (813) 300-5832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | RN2148562 | FL | Primary |
Addresses
Primary practice location
7920 Citrus Blossom Dr
Land O Lakes, FL 34637-7477
Mailing address
7920 Citrus Blossom Dr
Land O Lakes, FL 34637-7477
Phone (813) 300-5832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312118600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1104904234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 CITRUS BLOSSOM DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346377477",
"telephone_number": "813-300-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 CITRUS BLOSSOM DR",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346377477",
"telephone_number": "813-300-5832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMPA BAY FIRST ASSIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-300-5832",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "RNFA"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "FL",
"license": "RN2148562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312118600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.