Active NPI
Santhia Mirtyl, APRN
- Adult Health Nurse Practitioner
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9373212
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- Fax
- (786) 868-0012
- NPI assigned
- Jun 2, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN9373212 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9373212 | FL | Primary |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other practice location 1
4129 N Armenia Ave Ste B
Tampa, FL 33607-6436
Phone (813) 879-3699
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
Hospital & facility affiliations
- AdventHealth Carrollwood
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Tampa Lung Specialists, P.a. | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Raul Sierra MD PA | Past | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342
4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
-
- Pulmonary Disease Physician
- Tampa, FL
- NPI 1407971419
-
- General Practice Physician
- Tampa, FL
- NPI 1255642989
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1609368950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303",
"fax_number": "786-868-0012"
}
],
"practiceLocations": [
{
"address_1": "4129 N Armenia Ave Ste B",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076436",
"country_code": "US",
"telephone_number": "813-879-3699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRTYL",
"first_name": "SANTHIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-02",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9373212",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9373212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.