Individual provider Active NPI

Tasha Patterson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1326758624
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022858 Issued in FL
Practice address
1801 SE Hillmoor Dr # C103C104
Port St Lucie, FL 34952-7553
Phone
(772) 742-2111
NPI assigned
Nov 29, 2022
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022858 FL Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr # C103C104
Port St Lucie, FL 34952-7553

Mailing address

1801 SE Hillmoor Dr Ste C-104
Port St Lucie, FL 34952-7551
Phone (727) 742-2111

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
I20240819002203 FL Practitioner - Nurse Practitioner 1759829989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11022858FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humayun Shareef MD PA CurrentSince Jun 15, 2025 Accepting new patients
Internal Medicine Consultants of Saint Lucie County LLC CurrentSince Oct 1, 2024 Accepting new patients
Andi's Integrated Health Care,LLC Family CurrentSince Dec 6, 2022 Accepting new patients

Locations

2401 Frist Blvd
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-0033

1801 SE Hillmoor Dr
Ste C-103
Port St Lucie, FL 34952
Phone (772) 398-7110

1801 SE Hillmoor Dr
Ste C-104
Port St Lucie, FL 34952
Phone (561) 386-2612

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJBCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1326758624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE C-104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527551",
            "telephone_number": "727-742-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR # C103C104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-742-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TASHA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.