Individual provider Active NPI

Tyangela N Carroll, APRN

  • Hospitalist Physician
  • Spring Hill, FL
National Provider Identifier
1447860416
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
APRN11008285 Issued in FL
Practice address
5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone
(352) 688-8116
Fax
(352) 686-9477
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11008285 FL
Hospitalist Physician 208M00000X APRN11008285 FL Primary

Addresses

Primary practice location

5350 Spring Hill Dr
Spring Hill, FL 34606-4562

Mailing address

1803 E Yukon St
Tampa, FL 33604-2051

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
I20230210001286 FL Practitioner - Nurse Practitioner 6800268251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Healthcare of Tampa Bay LLCGroup PAC ID 4183937014, 23 clinicians

Practice addresses (Care Compare)

5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Phone (352) 688-8116

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare of Tampa Bay LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Access Health Care Physicians LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Unity Healthcare LLC Internal Medicine Past Accepting new patients
Access Health Care LLC Past Accepting new patients

Locations

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

14690 Spring Hill Dr
Ste 100
Spring Hill, FL 34609

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1447860416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E YUKON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-688-8116",
            "fax_number": "352-686-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TYANGELA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11008285",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN11008285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.