NPIMap

Organization Active NPI

Ibis Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
National Provider Identifier
1265383004
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
IBIS HEALTHCARE INC
Practice address
4422 E Columbus Dr
Tampa, FL 33605-3233
Phone
(813) 384-4216
NPI assigned
Feb 6, 2026
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
IBIS HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Roaya Tyson
Title
Ceo
Phone
(813) 239-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

4422 E Columbus Dr
Tampa, FL 33605-3233

Mailing address

5707 N 22ND St
Tampa, FL 33610-4350

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Care17 organizations share this tax ID, including this one
Part of
Mental Health Care

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1265383004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 E COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053233",
            "telephone_number": "813-384-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBIS HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IBIS HEALTHCARE INC",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "ROAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-239-8088"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "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 Feb 6, 2026; 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.