Active NPI
Tina Price
- Community Health Worker
- Holiday, FL
National Provider Identifier
1457705352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 6906848
- Practice address
- 1201 Lodestar Dr
Holiday, FL 34690-6518 - Phone
- (727) 614-2069
- Fax
- (727) 940-3650
- NPI assigned
- Apr 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 6906848 | FL | Primary |
Addresses
Primary practice location
1201 Lodestar Dr
Holiday, FL 34690-6518
Mailing address
1201 Lodestar Dr
Holiday, FL 34690-6518
Phone (727) 614-2069
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906848 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460851200000",
"number": "1457705352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 LODESTAR DR",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346906518",
"telephone_number": "727-614-2069",
"fax_number": "727-940-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 LODESTAR DR",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346906518",
"telephone_number": "727-614-2069",
"fax_number": "727-940-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-17",
"last_updated": "2016-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "6906848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holiday, FL
- Precision Optical of Florida, LLC
- Premier Community Health Care Group, Inc.
- Premier Community Health Care Group, Inc.
- Premier Community Health Care Group, Inc.
- Premier Community Health Care Group, Inc.
- Pro Relief Medical, Inc.
- Amber Dawn Queen
- Yasmiany Quintana Godoy
- Raintree Therapy Services, LLC
- Rajesh V Patel MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.