Organization Active NPI

Oasis Care Clinic Inc

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1457192650
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OASIS CARE CLINIC INC
Practice address
4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584
Phone
(813) 600-3559
Fax
(813) 602-0896
NPI assigned
Jun 3, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Imee Mateo Downing, APRNNPI 1750970885
Title
Chief Executive Officer/Owner
Phone
(702) 612-5214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584

Mailing address

13107 Bee Blossom PL
Riverview, FL 33579-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815004772 FL Part B Supplier - Clinic/Group Practice 4082152467 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1457192650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13107 BEE BLOSSOM PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092584",
            "telephone_number": "813-600-3559",
            "fax_number": "813-602-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "IMEE",
        "authorized_official_middle_name": "MATEO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/OWNER",
        "authorized_official_telephone_number": "702-612-5214",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.