Active NPI
Tressie C Landreth, CNM
- Advanced Practice Midwife
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN11017941
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115273000 | Medicaid | FL |
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
Enrollment records 1
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.
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.007341 | IL | MD | Advanced Practice Midwife |
| 5421M | KY | MD | Advanced Practice Midwife |
| 2004003222 | MO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | 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.
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.