Individual provider Active NPI

Tal Rivka Yariv

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1649557331
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9248305 Issued in FL
Practice address
3900 Esplanade Way
Tallahassee, FL 32311-0802
Phone
(850) 431-3867
Fax
(850) 431-3879
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9248305 FL Primary

Addresses

Primary practice location

3900 Esplanade Way
Tallahassee, FL 32311-0802

Mailing address

3900 Esplanade Way
Tallahassee, FL 32311-0802
Phone (850) 431-3867

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
I20120119000496 FL Practitioner - Nurse Practitioner 5294902011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

1541 Medical Dr
Tallahassee, FL 32308-4615
Phone (850) 431-7801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9248305FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc Nurse Practitioner Current Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

1616 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-5105

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

Interoperability endpoints

  • Direct secure messaging: tyariv21534@tallahasseememorial.direct-ci.com
  • Direct secure messaging: talyariv@tmhpp.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1649557331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ESPLANADE WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323110802",
            "telephone_number": "850-431-3867",
            "fax_number": "850-431-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ESPLANADE WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323110802",
            "telephone_number": "850-431-3867",
            "fax_number": "850-431-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARIV",
        "first_name": "TAL",
        "middle_name": "RIVKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9248305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.