Active NPI
Tanya Ernest Banks, ARNP
- Pediatric Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1306834403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP3059782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303565400 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3059782 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Pediatric Associates Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Gainesville, FL
- NPI 1710050596
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.