Active NPI
Tara Delach, M.A.
- Case Manager/Care Coordinator
- Tampa, FL
National Provider Identifier
1427363712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5520 W Idlewild Ave
Tampa, FL 33634-8015 - Phone
- (813) 901-3439
- Fax
- (813) 882-3689
- NPI assigned
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5520 W Idlewild Ave
Tampa, FL 33634-8015
Mailing address
5520 W Idlewild Ave
Tampa, FL 33634-8015
Phone (813) 901-3439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002248900 | Medicaid | FL |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1427363712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 W IDLEWILD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336348015",
"telephone_number": "813-901-3439",
"fax_number": "813-882-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 W IDLEWILD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336348015",
"telephone_number": "813-901-3439",
"fax_number": "813-882-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELACH",
"first_name": "TARA",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002248900",
"state": "FL"
}
],
"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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.