Individual provider Active NPI

Tatjana Jakovlev

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1285591719
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11044693 Issued in FL
Practice address
13172 N Dale Mabry Hwy
Tampa, FL 33618-2406
Phone
(813) 374-8981
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11044693 FL Primary

Addresses

Primary practice location

13172 N Dale Mabry Hwy
Tampa, FL 33618-2406

Mailing address

13172 N Dale Mabry Hwy
Tampa, FL 33618-2406

Other practice location 1

23079 Tabak Ln
Land O Lakes, FL 34639-5230
Phone (813) 803-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202003212 FL Practitioner - Nurse Practitioner 6507344421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SQ2 Medical PLLCGroup PAC ID 7315354271, 2 clinicians

Practice addresses (Care Compare)

13172 N Dale Mabry Hwy
Tampa, FL 33618-2406
Phone (813) 374-8981

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11044693FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SQ2 Medical PLLC Single Specialty CurrentSince Jan 19, 2026 Accepting new patients

Locations

23079 Tabak Ln
Land O Lakes, FL 34639
Phone (813) 803-3060

13172 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 374-8981

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1285591719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13172 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13172 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182406",
            "telephone_number": "813-374-8981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23079 Tabak Ln",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346395230",
            "country_code": "US",
            "telephone_number": "813-803-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKOVLEV",
        "first_name": "TATJANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11044693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.