Individual provider Active NPI

Jennifer Victoria Montressor, RNFA

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1356548770
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704220536 Issued in MI
Practice address
4301 N Habana Ave
Tampa, FL 33607-6546
Phone
(810) 220-5296
NPI assigned
Jun 29, 2007
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704220536 MI Primary
Registered Nurse First Assistant 163WR0006X 4704220536 MI

Addresses

Primary practice location

4301 N Habana Ave
Tampa, FL 33607-6546

Mailing address

4902 Eisenhower Blvd
#300
Tampa, FL 33634-6310
Phone (810) 220-5296

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
I20150926000424 FL Practitioner - Nurse Practitioner 4880914605 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704220536MIMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Family CurrentSince Apr 22, 2022 Accepting new patients
Pritesh & Tarak P a CurrentSince Mar 18, 2020 Accepting new patients

Locations

427 S Parsons Ave
Ste 112
Brandon, FL 33511
Phone (813) 651-4441

6310 Health Park Way
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 361-1123

20525 Amberfield Dr
Unit 104
Land O Lakes, FL 34638
Phone (813) 536-7281

18928 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 909-1146

8623 Regency Park Blvd
Port Richey, FL 34668
Phone (727) 842-9861

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Organizations & group practices 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1356548770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 EISENHOWER BLVD",
            "address_2": "#300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346310",
            "telephone_number": "810-220-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076546",
            "telephone_number": "810-220-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTRESSOR",
        "first_name": "JENNIFER",
        "middle_name": "VICTORIA",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704220536",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MI",
            "license": "4704220536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.