Individual provider Active NPI

Neetu Persad-Tapia, RMFTI

  • Marriage & Family Therapist
  • Winter Park, FL
National Provider Identifier
1275286072
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT3309 Issued in FL
Practice address
1035 S Semoran Blvd Ste 1049
Winter Park, FL 32792-5512
Phone
(321) 972-1875
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT3309 FL Primary

Addresses

Primary practice location

1035 S Semoran Blvd Ste 1049
Winter Park, FL 32792-5512

Mailing address

1035 S Semoran Blvd Ste 1049
Winter Park, FL 32792-5512
Phone (321) 972-1875

Other identifiers 1

IdentifierTypeStateIssuer
IMT3309OtherFLSTATE OF FLORIDA

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

State licenses

LicenseStateTypeSpecialty
IMT3309FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275286072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S SEMORAN BLVD STE 1049",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925512",
            "telephone_number": "321-972-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S SEMORAN BLVD STE 1049",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925512",
            "telephone_number": "321-972-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAD-TAPIA",
        "first_name": "NEETU",
        "credential": "RMFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "IMT3309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.