Individual provider Active NPI

Tara Meadows Devries, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1245085513
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031375 Issued in FL
Practice address
34866 US 19 N Unit 27
Palm Harbor, FL 34684-1918
Phone
(727) 755-0064
NPI assigned
Apr 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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 11031375 FL Primary

Addresses

Primary practice location

34866 US 19 N Unit 27
Palm Harbor, FL 34684-1918

Mailing address

1668 E Orangeside Rd
Palm Harbor, FL 34683-3350
Phone (727) 798-0816

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
I20260317004880 FL Practitioner - Nurse Practitioner 7517441686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1668 E Orangeside Rd
Palm Harbor, FL 34683-3350

214 Centerview Dr
Suite 250
Brentwood, TN 37027-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11031375FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Mar 2, 2026 Accepting new patients

Locations

33667 US Highway 19 N
Palm Harbor, FL 34684
Phone (813) 499-9545

Organizations & group practices 1

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": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1245085513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 E ORANGESIDE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833350",
            "telephone_number": "727-798-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34866 US 19 N UNIT 27",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841918",
            "telephone_number": "727-755-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "TARA",
        "middle_name": "MEADOWS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.