Annette Keely Seymour

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

110 E Oak Ave
Tampa, FL 33602-2210

Phone

(813) 224-9622

Fax

(813) 224-9622

NPI assigned

Feb 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Annette Keely Masa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tampa Metropolitan Area Young Men'S Christian Association Inc

  • Health Educator
  • Tampa, FL
  • NPI 1710434121
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1477053700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CAPE COD CIR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944379",
            "telephone_number": "813-298-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022210",
            "telephone_number": "813-224-9622",
            "fax_number": "813-224-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "ANNETTE",
        "middle_name": "KEELY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "MASA",
            "middle_name": "KEELY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronaldo Sevilla Berrios
• Audrey C Sevilla-Ballereau, PA-C
• Drana A. Sexton
• Emerson Sexton, M.S., CCC-SLP
• Wade Sexton, MD
• Marley Megan Seymour, OTD, OTR/L
• SF Tampa LLC
• SGF Tampa Bay LLC
• SH Carrollwood, LLC
• SH Northdale, LLC

• Health Educator in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.