Individual provider Active NPI

Tanya Ernest Banks, ARNP

  • Pediatric Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1306834403
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP3059782 Issued in FL
Practice address
6440 W Newberry Rd
Suite 402
Gainesville, FL 32605-4381
Phone
(352) 333-5500
Fax
(352) 333-5506
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP3059782 FL Primary

Addresses

Primary practice location

6440 W Newberry Rd
Suite 402
Gainesville, FL 32605-4381

Mailing address

6440 W Newberry Rd
Suite 402
Gainesville, FL 32605-4381
Phone (352) 333-5500

Other identifiers 1

IdentifierTypeStateIssuer
303565400MedicaidFL

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
ARNP3059782FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Pediatric Associates Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1306834403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "SUITE 402",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5500",
            "fax_number": "352-333-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "SUITE 402",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5500",
            "fax_number": "352-333-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "TANYA",
        "middle_name": "ERNEST",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3059782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303565400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.