Individual provider Active NPI

David R Tano

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215294533
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11011646 Issued in FL
Practice address
14221 SW 120TH St Ste 225
Miami, FL 33186-4225
Phone
(786) 718-7073
Fax
(305) 709-6058
NPI assigned
Apr 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11011646 FL Primary

Addresses

Primary practice location

14221 SW 120TH St Ste 225
Miami, FL 33186-4225

Mailing address

10798 SW 43Rd LN
Miami, FL 33165-4857
Phone (786) 718-7073

Other practice location 1

7000 SW 62nd Ave Ste 600
South Miami, FL 33143-4728
Phone (786) 718-7073

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
I20221010000609 FL Practitioner - Nurse Practitioner 3870979271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alma Community Center IncGroup PAC ID 0042600751, 2 clinicians

Practice addresses (Care Compare)

5590 W 20TH Ave
Suite 404
Hialeah, FL 33016-7062
Phone (305) 826-9330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Benito MD PA CurrentSince Oct 1, 2022 Accepting new patients
Alma Community Center Inc CurrentSince Jan 9, 2023 Accepting new patients

Locations

5590 W 20th Ave
Ste 404
Hialeah, FL 33016
Phone (305) 819-9240

7000 SW 62nd Ave
Ste 600
South Miami, FL 33143
Phone (305) 284-7577

Organizations & group practices 3

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1215294533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10798 SW 43RD LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654857",
            "telephone_number": "786-718-7073",
            "fax_number": "305-709-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 225",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864225",
            "telephone_number": "786-718-7073",
            "fax_number": "305-709-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 SW 62nd Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434728",
            "country_code": "US",
            "telephone_number": "786-718-7073",
            "fax_number": "305-709-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANO",
        "first_name": "DAVID",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11011646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.