Individual provider Active NPI

Denise Renee McCalister

  • Case Manager/Care Coordinator
  • Tampa, FL
National Provider Identifier
1154584928
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5520 West Idlewild Avenue
Family Support Center
Tampa, FL 33634-8015
Phone
(813) 901-3437
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

5520 West Idlewild Avenue
Family Support Center
Tampa, FL 33634-8015

Mailing address

5520 W Idlewild Ave
Tampa, FL 33634-8015
Phone (813) 901-3437

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1154584928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 W IDLEWILD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336348015",
            "telephone_number": "813-901-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 WEST IDLEWILD AVENUE",
            "address_2": "FAMILY SUPPORT CENTER",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336348015",
            "telephone_number": "813-901-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALISTER",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Jul 2, 2008; 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.