Active NPI
Christine L Brandes, APRN
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9360446
- Practice address
- 3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607 - Phone
- (813) 870-4000
- NPI assigned
- Jun 29, 2010
- Last updated
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA11424 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN9360446 | FL | Primary |
Addresses
Primary practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Mailing address
2502 W Saint Isabel St
Tampa, FL 33607-6318
Phone (813) 874-5707
Other practice location 1
13777 Pearl Road
Strongsville, OH 44136-6024
Phone (401) 770-1690
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA11424 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates of Tampa Bay, LLC | Current | Accepting new patients | |
| Observation Medical Group LLC | Current | Accepting new patients | |
| Observation Medical Group LLC | Current | Accepting new patients | |
| Sunshine City Emergency Physicians | Past | Accepting new patients |
Locations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
Organizations & group practices 4
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.
-
dba Excelis Medical Associates
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Riverview, FL
- NPI 1467094425
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1770533143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1407167000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 W SAINT ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076318",
"telephone_number": "813-874-5707"
},
{
"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": "33607",
"telephone_number": "813-870-4000"
}
],
"practiceLocations": [
{
"address_1": "13777 Pearl Road",
"address_purpose": "LOCATION",
"city": "Strongsville",
"state": "OH",
"postal_code": "441366024",
"country_code": "US",
"telephone_number": "401-770-1690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDES",
"first_name": "CHRISTINE",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA11424",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9360446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.