Active NPI
Taylor Trevor Plamondon, RN
- Registered Nurse First Assistant
- Tampa, FL
National Provider Identifier
1477163772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN9497164
- Practice address
- 6322 Gunn Hwy
Tampa, FL 33625-4105 - Phone
- (813) 864-3998
- NPI assigned
- Aug 3, 2020
- Last updated
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9497164 | FL | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nucci Medical Clinic, LLC | Past | Accepting new patients | |
| Splinter Anesthesia Services, LLC | Past | 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.
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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.