Individual provider Active NPI

Tameka Devandra Hawkins, APRN

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1588200679
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004222 Issued in FL
Practice address
5151 Winter Garden Vineland Rd Ste 207
Windermere, FL 34786-6098
Phone
(407) 612-4007
Fax
(407) 612-4017
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 APRN11004222 FL Primary

Addresses

Primary practice location

5151 Winter Garden Vineland Rd Ste 207
Windermere, FL 34786-6098

Mailing address

5151 Winter Garden Vineland Rd Ste 208
Windermere, FL 34786-6098
Phone (407) 612-4007

Other names 1

  • Tameka Devandra Coffin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002411 FL Practitioner - Nurse Practitioner 4880092451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

5151 Winter Garden Vineland Rd
Suite 208
Windermere, FL 34786-6098
Phone (407) 614-8320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Family Medicine CurrentSince Oct 28, 2024 Accepting new patients
Adventist Health System/Sunbelt, Inc Family Medicine CurrentSince Oct 28, 2024 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Dec 6, 2023 Accepting new patients
Adventist Health System Sunbelt Inc Family Medicine Current Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1588200679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 WINTER GARDEN VINELAND RD STE 208",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866098",
            "telephone_number": "407-612-4007",
            "fax_number": "407-612-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 WINTER GARDEN VINELAND RD STE 207",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866098",
            "telephone_number": "407-612-4007",
            "fax_number": "407-612-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "TAMEKA",
        "middle_name": "DEVANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMEKA",
            "last_name": "COFFIN",
            "middle_name": "DEVANDRA",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windermere, FL

Sources for this page

Verify at the official NPI Registry.