Active NPI
Diane Carol Tamasovich, ARNP
- Specialist
- Tampa, FL
National Provider Identifier
1255451258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 207RH0003X
- Practice address
- 2111 W Swann Ave
Suiten102
Tampa, FL 33606-2477 - Phone
- (813) 254-7227
- Fax
- (813) 253-0285
- NPI assigned
- Mar 31, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 207RH0003X | FL | Primary |
Addresses
Primary practice location
2111 W Swann Ave
Suiten102
Tampa, FL 33606-2477
Mailing address
1918 Pelican Landing Blvd
Apt 1115
Clearwater, FL 33762-5552
Phone (941) 587-4887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3150272 | Other | FL | ARNP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 207RH0003X | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Care Health Services PA | Past | Accepting new patients | |
| Our Family Doctors P L L C | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Largo, FL
- NPI 1154417350
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1689865818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1255451258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 PELICAN LANDING BLVD",
"address_2": "APT 1115",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337625552",
"telephone_number": "941-587-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 W SWANN AVE",
"address_2": "SUITEN102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062477",
"telephone_number": "813-254-7227",
"fax_number": "813-253-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMASOVICH",
"first_name": "DIANE",
"middle_name": "CAROL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "207RH0003X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "3150272",
"state": "FL"
}
],
"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 Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.