Individual provider Active NPI

Diane Carol Tamasovich, ARNP

  • Specialist
  • Tampa, FL
National Provider Identifier
1255451258
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207RH0003X Issued in FL
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

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3150272OtherFLARNP

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
207RH0003XFLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Take Care Health Services PA Past Accepting new patients
Our Family Doctors P L L C PastSince Nov 1, 2001 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.

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.

Verify at the official NPI Registry.