Maryann Tasong

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11005208 Issued in FL

Practice address

5811 Atlantic Blvd Unit 875811
Jacksonville, FL 32207-2214

Phone

(770) 756-1151

NPI assigned

Jun 6, 2012

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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.

• Florida Department of Children and Families

  dba Florida State Hospital-Unit 31

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment NPD
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1356602312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 ATLANTIC BLVD UNIT 875811",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072214",
            "telephone_number": "770-756-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 ATLANTIC BLVD UNIT 875811",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072214",
            "telephone_number": "770-756-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASONG",
        "first_name": "MARYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11005208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Randall Tartt, MD
• Candra Tarver
• Willean Tarver
• David John Taska
• Taskett Dialysis LLC (Philips Highway Dialysis)
• Mehmet Tatari, MD
• Claude Tate Jr.
• Hillary Tate
• Lindsey Shea Tate, PHARMD
• Arnela Tatic, NP

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.