Active NPI
Wyndee Tantoco
- Assisted Living Facility
- Tampa, FL
National Provider Identifier
1407465792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 4992
- Practice address
- 2812 N Nebraska Ave
Tampa, FL 33602-1728 - Phone
- (813) 225-1347
- NPI assigned
- Jul 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 4992 | FL | Primary |
Addresses
Primary practice location
2812 N Nebraska Ave
Tampa, FL 33602-1728
Mailing address
2812 N Nebraska Ave
Tampa, FL 33602-1728
Phone (813) 225-1347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | oaklandmanor33602@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4992 | FL | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1407465792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336021728",
"telephone_number": "813-225-1347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 N NEBRASKA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336021728",
"telephone_number": "813-225-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTOCO",
"first_name": "WYNDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "4992",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "oaklandmanor33602@gmail.com",
"affiliation": "N",
"address_1": "2812 N Nebraska Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336021728",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.