Individual provider Active NPI

Emily Tedesco

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1164310710
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040452 Issued in FL
Practice address
504 S Armenia Ave Unit 1337
Tampa, FL 33609-3391
Phone
(813) 373-1410
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 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 11040452 FL Primary

Addresses

Primary practice location

504 S Armenia Ave Unit 1337
Tampa, FL 33609-3391

Mailing address

504 S Armenia Ave Unit 1337
Tampa, FL 33609-3391
Phone (813) 373-1410

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
I20251011000535 FL Practitioner - Nurse Practitioner 3779070073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2501 W Kennedy Blvd
Tampa, FL 33609-3305
Phone (813) 844-0344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040452FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 5, 2025 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Nov 5, 2025 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

Interoperability endpoints

  • Direct secure messaging: etedesco368592@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1164310710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S ARMENIA AVE UNIT 1337",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093391",
            "telephone_number": "813-373-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S ARMENIA AVE UNIT 1337",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093391",
            "telephone_number": "813-373-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.