Tepashealthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9288128 Issued in FL

Legal business name

TEPASHEALTHCARE

Practice address

1140 Broadband Dr
Melbourne, FL 32901-2623

Phone

(321) 733-1901

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Stellato

Title

Practice Administrator

Phone

(321) 733-1901

Specialties & licenses 1

Addresses

Tax ID family

Bsa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bsa LLC

  dba Brevard Surgical Associates TEPAS Healthcare

  • Surgery Physician
  • Melbourne, FL
  • NPI 1851344063
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EAGFAA

Practitioners 1

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.

• Emran Riaz Imami, M.D.

  • Surgery Physician
  • Melbourne, FL
  • NPI 1215901848
  NPD

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1548626880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BROADBAND DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BROADBAND DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012623",
            "telephone_number": "321-733-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEPASHEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "STELLATO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "321-733-1901"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9288128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramin Saum Teimouri, DC
• Thavin Tempakornkul, DO
• Lynn R Temple, CRNA
• Temples Holistic Wellness, LLC
• Alyanna Marie Tennant
• Ashley Nicole Tepe, PHARM D
• B. Dawn Tepperman, PH.D.
• Steven Terezakis
• Richard Sal Termini
• Sharon May Termini

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, 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 Dec 31, 2015; 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.