Individual provider Active NPI

Taylor Trevor Plamondon, RN

  • Registered Nurse First Assistant
  • Tampa, FL
National Provider Identifier
1477163772
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN9497164 Issued in FL
Practice address
6322 Gunn Hwy
Tampa, FL 33625-4105
Phone
(813) 864-3998
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN9497164 FL Primary

Addresses

Primary practice location

6322 Gunn Hwy
Tampa, FL 33625-4105

Mailing address

6322 Gunn Hwy
Tampa, FL 33625-4105
Phone (813) 864-3998

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9497164FLMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nucci Medical Clinic, LLC PastSince Aug 9, 2020 Accepting new patients
Splinter Anesthesia Services, LLC PastSince Aug 9, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1477163772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254105",
            "telephone_number": "813-864-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254105",
            "telephone_number": "813-864-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAMONDON",
        "first_name": "TAYLOR",
        "middle_name": "TREVOR",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9497164",
            "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 Aug 3, 2020; 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.