Active NPI
Tara Marie Ice, NNP
- Neonatal Nurse Practitioner
- Tampa, FL
National Provider Identifier
1356207930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 11045463
- Practice address
- 3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307 - Phone
- (813) 872-2929
- NPI assigned
- Dec 29, 2025
- Last updated
- May 18, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 11045463 | FL | Primary |
Addresses
Primary practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone (954) 692-7615
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 |
|---|---|---|---|
| 11045463 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1356207930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CONCORD TER",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232843",
"telephone_number": "954-692-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076307",
"telephone_number": "813-872-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICE",
"first_name": "TARA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "11045463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Sarah Abdelkafy Ibrahim, RPH
- Tamara Ibrahim, MD
- Yasmine Ibrahim, MD
- Icare Tampa, LLC
- Amy Michelle Ice, MA, CRC
- Reem Ichoa, DO
- Icp Holdings, LLC (Carrollwood Compounding Center)
- Idea Public Schools Florida (IDEA Florida, INC)
- Ideal Body Institute Tampa ASC LLC (IBI Healthcare ASC)
- Ideal Body Institute Tampa, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.