Organization Active NPI

Anista Westchase

  • Urgent Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1255610366
Registry record updated Aug 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ANISTA WESTCHASE
Practice address
10718 Countryway Blvd
Tampa, FL 33626-1733
Phone
(813) 855-4000
NPI assigned
Aug 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2011

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

Authorized official

Name
Miss Jerri Lynn Derbyshire
Title
Office Manager
Phone
(813) 695-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FL Primary

Addresses

Primary practice location

10718 Countryway Blvd
Tampa, FL 33626-1733

Mailing address

10718 Countryway Blvd
Tampa, FL 33626-1733
Phone (813) 855-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313280000000",
    "number": "1255610366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261733",
            "telephone_number": "813-855-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261733",
            "telephone_number": "813-855-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISTA WESTCHASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-07",
        "last_updated": "2011-08-14",
        "status": "A",
        "authorized_official_last_name": "DERBYSHIRE",
        "authorized_official_first_name": "JERRI LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-695-4843",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 14, 2011; 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.