Individual provider Active NPI

Shawna Charise Tindell, NP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1205137700
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9422520 Issued in FL
Practice address
9009 Corporate Lake Dr Ste 200
Tampa, FL 33634
Phone
(386) 288-8868
Fax
(855) 243-6983
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN306208 COA11977 OH
Family Nurse Practitioner 363LF0000X ARNP9422520 FL Primary

Addresses

Primary practice location

9009 Corporate Lake Dr Ste 200
Tampa, FL 33634

Mailing address

9009 Corporate Lake Dr Ste 200
Tampa, FL 33634-2365
Phone (386) 288-8868

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN306208 COA11977OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1205137700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 CORPORATE LAKE DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342365",
            "telephone_number": "386-288-8868",
            "fax_number": "855-243-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 CORPORATE LAKE DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33634",
            "telephone_number": "386-288-8868",
            "fax_number": "855-243-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDELL",
        "first_name": "SHAWNA",
        "middle_name": "CHARISE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN306208 COA11977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9422520",
            "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 Aug 20, 2018; 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.