Individual provider Active NPI

Tammy Vann, ARNP

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1417476714
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9254608 Issued in FL
Practice address
5964 Normandy Blvd
Jacksonville, FL 32205-6212
Phone
(904) 378-0121
NPI assigned
Sep 18, 2017
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9254608 FL Primary

Addresses

Primary practice location

5964 Normandy Blvd
Jacksonville, FL 32205-6212

Mailing address

203 Pine Haven Dr
Saint Johns, FL 32259-7403

Other practice location 1

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

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
I20180228000824 FL Practitioner - Nurse Practitioner 9638430051 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic of Jacksonville LLCGroup PAC ID 1052409307, 56 clinicians
Oceanview Medicine, PLLCGroup PAC ID 5597047449, 3 clinicians

Practice addresses (Care Compare)

5964 Normandy Blvd
Carespot Express Healthcare
Jacksonville, FL 32205-6212
Phone (615) 600-4074

6817 Southpoint Pkwy
Suite 102
Jacksonville, FL 32216-6285
Phone (904) 513-3998

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9254608FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Jan 25, 2023 Accepting new patients
Solantic/South Florida, LLC CurrentSince Jan 25, 2023 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Nov 13, 2022 Accepting new patients
Oceanview Medicine, PLLC CurrentSince Jul 27, 2024 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Jan 25, 2023 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Jan 25, 2023 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Jan 25, 2023 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Jan 25, 2023 Accepting new patients
Solantic of Jacksonville, LLC PastSince Sep 5, 2021 Accepting new patients
Phuong Lu DO PA PastSince Jul 27, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

1205 N University Dr
Coral Springs, FL 33071
Phone (954) 780-8134

3925 NW 43rd St
Gainesville, FL 32606
Phone (352) 371-1777

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

5964 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

4498 Hendricks Ave
Jacksonville, FL 32207
Phone (904) 854-1730

6817 Southpoint Pkwy
Ste 102
Jacksonville, FL 32216
Phone (904) 513-3998

1414 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 452-3700

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Interoperability endpoints

  • Direct secure messaging: tvann223411@ehrdirect.mayoclinicmsg.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1417476714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PINE HAVEN DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056212",
            "telephone_number": "904-378-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "TAMMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9254608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.