Individual provider Active NPI

Tiffany Lynn D'Angelo, DNP, APRN, FNP-BC

  • Adult Health Nurse Practitioner
  • Saint Petersburg, FL
National Provider Identifier
1396394227
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11004335 Issued in FL
Practice address
725 6TH Ave S
Ste 1200
Saint Petersburg, FL 33701
Phone
(727) 553-7355
Fax
(727) 553-7356
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 APRN9360004 FL
Adult Health Nurse Practitioner 363LA2200X APRN11004335 FL Primary

Addresses

Primary practice location

725 6TH Ave S
Ste 1200
Saint Petersburg, FL 33701

Mailing address

725 6TH Ave S
Ste 1200
Saint Petersburg, FL 33701
Phone (727) 553-7355

Other practice location 1

6870 11th Ave N
Saint Petersburg, FL 33710-6110
Phone (937) 776-5057

Other names 1

  • Tiffany Lynn Poe Former name

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
I20191203000570 FL Practitioner - Nurse Practitioner 2567895717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 823-1234

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
74.04
Promoting interoperability
100
Improvement activities
40
Cost
70.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004335FLMDAdult Health Nurse Practitioner
APRN9360004FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC Current Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Oct 1, 2019 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Oct 1, 2019 Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

2001 W Reynolds St
Plant City, FL 33563
Phone (813) 655-1100

3140 S Falkenburg Rd
Ste 201
Riverview, FL 33578

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

725 6th Ave S
Ste 1200
St Petersburg, FL 33701
Phone (727) 553-7355

720 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-5513

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

6914 Sheldon Rd
Ste 101
Tampa, FL 33615

4710 N Habana Ave
Ste 107
Tampa, FL 33614
Phone (813) 870-3767

3419 N Lakeview Dr
Tampa, FL 33618
Phone (813) 844-7600

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

1500 E Venice Ave
Unit 103
Venice, FL 34292
Phone (941) 416-7734

27802 Summergate Blvd
Wesley Chapel, FL 33544

2106 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 910-8708

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1396394227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH AVE S",
            "address_2": "STE 1200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-553-7355",
            "fax_number": "727-553-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH AVE S",
            "address_2": "STE 1200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-553-7355",
            "fax_number": "727-553-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6870 11th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337106110",
            "country_code": "US",
            "telephone_number": "937-776-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9360004",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "POE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.