Organization Active NPI

Harbourside Health LLC

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1306720792
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARBOURSIDE HEALTH LLC
Practice address
100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone
(813) 683-4778
Fax
(813) 807-5377
NPI assigned
Jul 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Kristina AlaanNPI 1144475419
Title
Authorized Member
Phone
(813) 683-4778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 S Ashley Dr Ste 600
Tampa, FL 33602-5300

Mailing address

100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone (813) 683-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104003023 FL Part B Supplier - Clinic/Group Practice 3375033822 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1306720792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ASHLEY DR STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025300",
            "telephone_number": "813-683-4778",
            "fax_number": "813-807-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ASHLEY DR STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025300",
            "telephone_number": "813-683-4778",
            "fax_number": "813-807-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOURSIDE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "ALAAN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "813-683-4778"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.