Seniorelite LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

SENIORELITE LLC

Practice address

14902 Winding Creek CT
Ste 105C
Tampa, FL 33613-1640

Phone

(813) 482-1743

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Vivienne Ann Evans, ARNP

Title

President

Phone

(813) 482-1743

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mittye Victoria Evans, ARNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1063446136
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1376807446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 WINDING CREEK CT",
            "address_2": "STE 105C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131640",
            "telephone_number": "813-482-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14902 WINDING CREEK CT",
            "address_2": "STE 105C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131640",
            "telephone_number": "813-482-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORELITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-482-1743",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.