Active NPI
Ultra Health Providers of Florida
- Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ULTRA HEALTH PROVIDERS OF FLORIDA
- Practice address
- 217 6TH Ave N Ste 43952
Nashville, TN 37219-1903 - Phone
- (731) 394-1145
- NPI assigned
- Aug 28, 2018
- Last updated
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Martinez
- Title
- Ceo
- Phone
- (731) 394-1145
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
217 6TH Ave N Ste 43952
Nashville, TN 37219-1903
Mailing address
PO Box 269092
Dept 1103
Oklahoma City, OK 73126-9092
Phone (731) 394-1145
Other practice location 1
2202 W Oak Ave
Plant City, FL 33563-7222
Phone (386) 562-4899
Other practice location 2
701 N Wilder Rd
Plant City, FL 33566-7547
Phone (386) 562-4899
Other practice location 3
10300 4th St N
Saint Petersburg, FL 33716-3810
Phone (386) 562-4899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123172200 | Medicaid | FL | |
| 123172202 | Medicaid | FL | |
| 123172203 | Medicaid | FL | |
| 123172201 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Ultra Health Provders
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
Member Of
Locations
100 W Indiana Ave
Deland, FL 32720
2202 W Oak Ave
Plant City, FL 33563
Phone (813) 502-1333
Interoperability endpoints
- https://api.platform.athenahealth.com/18512/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Plant City, FL
- NPI 1841252061
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1386400059
-
- Family Nurse Practitioner
- Plant City, FL
- NPI 1790543213
-
- Gerontology Nurse Practitioner
- Temple Terrace, FL
- NPI 1366290504
-
- Gerontology Nurse Practitioner
- Tampa, FL
- NPI 1548035686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1528549490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269092",
"address_2": "DEPT 1103",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731269092",
"telephone_number": "731-394-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 6TH AVE N STE 43952",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372191903",
"telephone_number": "731-394-1145"
}
],
"practiceLocations": [
{
"address_1": "2202 W Oak Ave",
"address_purpose": "LOCATION",
"city": "Plant City",
"state": "FL",
"postal_code": "335637222",
"country_code": "US",
"telephone_number": "386-562-4899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 N Wilder Rd",
"address_purpose": "LOCATION",
"city": "Plant City",
"state": "FL",
"postal_code": "335667547",
"country_code": "US",
"telephone_number": "386-562-4899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10300 4th St N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337163810",
"country_code": "US",
"telephone_number": "386-562-4899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ULTRA HEALTH PROVIDERS OF FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "731-394-1145"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123172200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123172202",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123172203",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123172201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.