Brittini Upshaw

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

713 W Plaza PL
Tampa, FL 33602-1229

Phone

(813) 419-9904

NPI assigned

Jan 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Community Caresource Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1316608557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W PLAZA PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W PLAZA PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021229",
            "telephone_number": "813-419-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "BRITTINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "address_1": "713 W Plaza Pl",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336021229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COMMUNITY",
            "last_name": "CARESOURCE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Upshaw TMS LLC
• Cedric Upshaw
• Kendall P Upshaw
• Maria Antonia Upshaw, D.M.D.
• William Nathan Upshaw, M.D.
• Karline Upton, MS RD LD CNSD

• Developmentally Disabled Services Day Training Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.