Active NPI
Monique Mavour
- Student in an Organized Health Care Education/Training Program
- Tampa, FL
National Provider Identifier
1245937630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4303 Walis PL
Tampa, FL 33610-5748 - Phone
- (561) 320-6071
- NPI assigned
- Feb 15, 2023
- Last updated
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
4303 Walis PL
Tampa, FL 33610-5748
Mailing address
4303 Walis PL
Tampa, FL 33610-5748
Phone (561) 320-6071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177F00000X | Other | 177F00000X |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Me2 Enterprises LLC | Current | Accepting new patients | |
| Candid Care LLC | Current | Accepting new patients | |
| Candid Care: Center of Advanced Learning | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Tampa, FL
- NPI 1508738865
-
- Developmentally Disabled Services Day Training Agency
- Tampa, FL
- NPI 1780556035
-
- Local Education Agency (LEA)
- Tampa, FL
- NPI 1013614403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1245937630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 WALIS PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336105748",
"telephone_number": "561-320-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 WALIS PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336105748",
"telephone_number": "561-320-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVOUR",
"first_name": "MONIQUE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "177F00000X",
"identifier": "177F00000X",
"state": null
}
],
"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 Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.