Individual provider Active NPI

Tara Ross, APRN

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1447801972
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003094 Issued in FL
Practice address
1212 E Bearss Ave
Lutz, FL 33549-3525
Phone
(813) 397-5300
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003094 FL Primary

Addresses

Primary practice location

1212 E Bearss Ave
Lutz, FL 33549-3525

Mailing address

1200 S Pinellas Ave Ste 11
Tarpon Springs, FL 34689-3716
Phone (727) 938-0050

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
I20191104001581 FL Practitioner - Nurse Practitioner 1456683861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone (813) 852-5270

1840 Mease Dr
Suite 400
Safety Harbor, FL 34695-6606
Phone (727) 786-8678

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 397-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003094FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc CurrentSince Jul 15, 2024 Accepting new patients
Tampa Family Health Centers Inc Current Accepting new patients
Florida Woman Care, LLC CurrentSince Aug 1, 2025 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jul 15, 2024 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1840 Mease Dr
Ste 400
Safety Harbor, FL 34695
Phone (727) 725-6128

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

Interoperability endpoints

  • Direct secure messaging: tara.ross.1@2183.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1447801972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE STE 11",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893716",
            "telephone_number": "727-938-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E BEARSS AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335493525",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TARA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.