NPIMap

Individual provider Active NPI

Tatiana Passe

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1205126745
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9235770 Issued in FL
Practice address
3001 N State Road 7
Lauderdale Lakes, FL 33313-1913
Phone
(954) 733-7473
NPI assigned
Apr 18, 2011
Last updated
Apr 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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 9235770 FL Primary

Addresses

Primary practice location

3001 N State Road 7
Lauderdale Lakes, FL 33313-1913

Mailing address

6301 NW 52ND St
Coral Springs, FL 33067-2150

Other names 1

  • Ms. Tatiana Passe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000069 FL Practitioner - Nurse Practitioner 9335305721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9235770FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 8, 2018 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Sep 15, 2015 Accepting new patients
Nursing Home Physicians PA Family CurrentSince Aug 27, 2013 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Mar 1, 2017 Accepting new patients
Accountable Care Hospitalist Group CurrentSince May 6, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 8, 2018 Accepting new patients
Nursing Home Consultants LLC PastSince Aug 27, 2013 Accepting new patients
LTC Hospitalists Inc PastSince Sep 20, 2020 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

3001 S Congress Ave
Boynton Beach, FL 33426
Phone (561) 638-0000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1205126745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW 52ND ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131913",
            "telephone_number": "954-733-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSE",
        "first_name": "TATIANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9235770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "PASSE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.