Individual provider Active NPI

Jason Jevante Philson, DHA

  • Case Manager/Care Coordinator
  • Tampa, FL
National Provider Identifier
1508669235
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7207 & 7225 N Nebraska Ave
Tampa, FL 33604
Phone
(904) 900-1513
NPI assigned
Mar 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Case Manager/Care Coordinator 171M00000X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

7207 & 7225 N Nebraska Ave
Tampa, FL 33604

Mailing address

1918 E Shadowlawn Ave
Tampa, FL 33610-5042
Phone (757) 274-8766

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

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1508669235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 E SHADOWLAWN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105042",
            "telephone_number": "757-274-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 & 7225 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "904-900-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILSON",
        "first_name": "JASON",
        "middle_name": "JEVANTE",
        "name_prefix": "Dr.",
        "credential": "DHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "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 Mar 28, 2025; 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.