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
- Last updated
- 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 |
Organizations & group practices 1
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.
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.