Darden Functional Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DARDEN FUNCTIONAL HEALTH LLC

Practice address

26246 Wesley Chapel Blvd Unit 109
Lutz, FL 33559-7206

Phone

(813) 610-6737

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Eyvette Green, APRNNPI 1659690592

Title

Owner

Phone

(813) 610-6737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Eyvette Green, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1659690592
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1518658657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26246 WESLEY CHAPEL BLVD UNIT 109",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597206",
            "telephone_number": "813-610-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26246 WESLEY CHAPEL BLVD UNIT 109",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597206",
            "telephone_number": "813-610-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARDEN FUNCTIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "EYVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christen Daigle
• Dang Wynn Medical
• Daniel Heinig, M.D., P.a.
• Erica Daniels
• Daode LLC
• Marria Darden
• Suzy Faye Natasha Daren, MFT
• Akhil Das
• Glenda Datsko, CPM, LM
• Ky Dau, PA-C

• Family Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.