NPIMap

Individual provider Active NPI

Tami Wilkes, APRN

  • Family Nurse Practitioner
  • Cedar Key, FL
National Provider Identifier
1578970141
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3234182 Issued in FL
Practice address
510 2ND St # 297
Cedar Key, FL 32625-5120
Phone
(352) 325-0474
Fax
(833) 776-0620
NPI assigned
Jul 16, 2014
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3234182 FL Primary

Addresses

Primary practice location

510 2ND St # 297
Cedar Key, FL 32625-5120

Mailing address

PO Box 297
Cedar Key, FL 32625-0297
Phone (352) 325-0474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000607 FL Practitioner - Nurse Practitioner 7113148073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 2ND St
Suite 297
Cedar Key, FL 32625-5120
Phone (352) 325-0474

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3234182FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Key Healthcare LLC CurrentSince Apr 15, 2021 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Aug 6, 2014 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Aug 6, 2014 Accepting new patients

Locations

12554 S John Young Pkwy
Ste 103
Orlando, FL 32837
Phone (407) 282-3615

953 N Semoran Blvd
Orlando, FL 32807
Phone (407) 282-3615

Interoperability endpoints

  • Direct secure messaging: cedarkeyhealthcare.tamiwilkes@148798.advancedmd-direct.com

Organizations & group practices 3

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1578970141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "CEDAR KEY",
            "state": "FL",
            "postal_code": "326250297",
            "telephone_number": "352-325-0474",
            "fax_number": "833-776-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 2ND ST # 297",
            "city": "CEDAR KEY",
            "state": "FL",
            "postal_code": "326255120",
            "telephone_number": "352-325-0474",
            "fax_number": "833-776-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "TAMI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3234182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Key, FL

Sources for this page

Verify at the official NPI Registry.