Active NPI
Vanessa Chanel Garrison, APRN
- Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14201506-4405
- Practice address
- 2502 W Saint Isabel St
Tampa, FL 33607-6318 - Phone
- (813) 874-5707
- NPI assigned
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11020556 | FL | |
| Nurse Practitioner | 363L00000X | 14201506-4405 | UT | Primary |
Addresses
Primary practice location
2502 W Saint Isabel St
Tampa, FL 33607-6318
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 745-7365
Other practice location 2
5171 S Cottonwood St Ste 610
Murray, UT 84107-5741
Phone (801) 898-1819
Other names 1
- Vanessa Chanel Pedersen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 27128
Salt Lake City, UT 84127
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14201506-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Medical Group LLC | Current | Accepting new patients | |
| Emergency Medical Associates of Tampa Bay, LLC | Current | Accepting new patients | |
| Observation Medical Group LLC | Current | Accepting new patients |
Locations
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
2502 W Saint Isabel St
Tampa, FL 33607
Phone (813) 874-5707
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Riverview, FL
- NPI 1467094425
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1437884640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 W SAINT ISABEL ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076318",
"telephone_number": "813-874-5707"
}
],
"practiceLocations": [
{
"address_1": "12902 Usf Magnolia Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336129416",
"country_code": "US",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5171 S Cottonwood St Ste 610",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841075741",
"country_code": "US",
"telephone_number": "801-898-1819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRISON",
"first_name": "VANESSA",
"middle_name": "CHANEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11020556",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "14201506-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "PEDERSEN",
"middle_name": "CHANEL",
"code": "1",
"type": "Former Name"
}
]
}
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 May 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.