Individual provider Active NPI

Iliene Simpson Page, MN ARNP-C

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1497761670
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 567502 Issued in FL
Practice address
13000 Bruce B Downs Blvd
Michael Bilirakis Dva Spinal Cord Injury Center
Tampa, FL 33612-4745
Phone
(813) 784-5031
Fax
(813) 985-1986
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 567502 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP567502 FL

Addresses

Primary practice location

13000 Bruce B Downs Blvd
Michael Bilirakis Dva Spinal Cord Injury Center
Tampa, FL 33612-4745

Mailing address

503 Courtney Dr
Temple Terrace, FL 33617-7827
Phone (813) 784-5031

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 567502FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1497761670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 COURTNEY DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177827",
            "telephone_number": "813-784-5031",
            "fax_number": "813-985-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B DOWNS BLVD",
            "address_2": "MICHAEL BILIRAKIS DVA SPINAL CORD INJURY CENTER",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124745",
            "telephone_number": "813-784-5031",
            "fax_number": "813-985-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ILIENE",
        "middle_name": "SIMPSON",
        "name_prefix": "Mrs.",
        "credential": "MN ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 567502",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP567502",
            "primary": false
        }
    ],
    "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 Apr 18, 2012; 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.