Organization Active NPI

Tampa Bright Horizons LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1558716159
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP 9415070 Issued in FL
Legal business name
TAMPA BRIGHT HORIZONS LLC
Practice address
18958 N Dale Mabry Hwy
102
Lutz, FL 33548-4911
Phone
(813) 839-7390
Fax
(813) 333-5994
NPI assigned
May 2, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Patrick Delio
Title
Ceo
Phone
(813) 839-7390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X ARNP 9415070 FL Primary

Addresses

Primary practice location

18958 N Dale Mabry Hwy
102
Lutz, FL 33548-4911

Mailing address

18958 N Dale Mabry Hwy
102
Lutz, FL 33548-4911
Phone (813) 839-7390

National Provider Directory

National Provider Directory

Locations

18958 N Dale Mabry Hwy
Ste 102
Lutz, FL 33548
Phone (813) 400-0419

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1558716159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18958 N DALE MABRY HWY",
            "address_2": "102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-839-7390",
            "fax_number": "813-333-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18958 N DALE MABRY HWY",
            "address_2": "102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484911",
            "telephone_number": "813-839-7390",
            "fax_number": "813-333-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BRIGHT HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "DELIO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-839-7390"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 9415070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.