Individual provider Active NPI

Tia Irminger, AUTONOMOUS APRN

  • Primary Care Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1568815934
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9428091 Issued in FL
Practice address
3031 Lake Butler CT
Cape Coral, FL 33909-2908
Phone
(239) 266-4808
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9428091 FL
Primary Care Nurse Practitioner 363LP2300X APRN9428091 FL Primary

Addresses

Primary practice location

3031 Lake Butler CT
Cape Coral, FL 33909-2908

Mailing address

3031 Lake Butler CT
Cape Coral, FL 33909-2908
Phone (239) 266-4808

Other practice location 1

1020 Cultural Blvd
Cottage 7
Cape Coral, FL 33990
Phone (239) 333-1980

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

State licenses

LicenseStateTypeSpecialty
9428091FLMDFamily Nurse Practitioner
APRN9428091FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seabright Primary Care and Telehealth PLLC CurrentSince May 11, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1568815934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 LAKE BUTLER CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092908",
            "telephone_number": "239-266-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 LAKE BUTLER CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092908",
            "telephone_number": "239-266-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Cultural Blvd",
            "address_2": "Cottage 7",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33990",
            "country_code": "US",
            "telephone_number": "239-333-1980",
            "fax_number": "239-333-1988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRMINGER",
        "first_name": "TIA",
        "credential": "AUTONOMOUS APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9428091",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9428091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.