Tanya Sara Anne Temple, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9285703 Issued in FL

Practice address

906 Park Ave
Orange Park, FL 32073-4120

Phone

(904) 541-0315

Fax

(904) 541-0316

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsatemple1@directaddress.net

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.

• Mobile Visiting Practitioners, LLC

  • Primary Care Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1265915359
  Medicare reassignment NPD
• Behavioral Health Services of Florida LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1619649217
  NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1336536804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PARK AVENUE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731413",
            "telephone_number": "904-541-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Pineda Plaza Way",
            "address_2": "St 121",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407318",
            "country_code": "US",
            "telephone_number": "321-252-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "TANYA",
        "middle_name": "SARA ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9285703",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9285703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elaine Teixeira
• George Sawday Tellam, DPM
• Martha Tellez
• Temple Point Wellness LLC
• Margaret Jo Temple, MH 13408
• Abigail Lee Ten Eyck, MSN, PMHNP
• Ten Moons Midwifery Care
• Madison Elise Terhune
• Leslie June Termer, LMHC
• Douglas Michael Tew, MD

• Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.