Individual provider Active NPI

Tressie C Landreth, CNM

  • Advanced Practice Midwife
  • Gainesville, FL
National Provider Identifier
1598919987
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11017941 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-1248
Phone
(352) 273-7584
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 3005421 KY
Advanced Practice Midwife 367A00000X 209.007341 IL
Advanced Practice Midwife 367A00000X APRN11017941 FL Primary
Advanced Practice Midwife 367A00000X 5421M KY
Advanced Practice Midwife 367A00000X 2004003222 MO

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-1248

Mailing address

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0406

Other practice location 1

900 E Walnut St
Ste 10
Carbondale, IL 62901-3132
Phone (618) 997-5266

Other practice location 2

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

Other practice location 3

485 N Keller Rd Ste 551
Maitland, FL 32751-8654
Phone (270) 564-6635

Other practice location 4

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0406

Other identifiers 1

IdentifierTypeStateIssuer
115273000MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221020000066 FL Practitioner - Certified Nurse Midwife (CNM) 6204053267 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.007341ILMDAdvanced Practice Midwife
5421MKYMDAdvanced Practice Midwife
2004003222MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 15, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 15, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 7, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 7, 2022 Accepting new patients
Women'S Care Florida LLC Advanced Practice Midwife Past Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1598919987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-975-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326101248",
            "telephone_number": "352-273-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E WALNUT ST",
            "address_2": "STE 10",
            "address_purpose": "LOCATION",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013132",
            "country_code": "US",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3408 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629596477",
            "country_code": "US",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 N Keller Rd Ste 551",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327518654",
            "country_code": "US",
            "telephone_number": "270-564-6635",
            "fax_number": "407-200-0624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-975-0406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "TRESSIE",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3005421",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.007341",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11017941",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "5421M",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2004003222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115273000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.