Individual provider Active NPI

Tamera Alexis Demps

  • Athletic Trainer
  • Daytona Beach, FL
National Provider Identifier
1659859544
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012
Phone
(386) 481-2000
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012

Mailing address

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012
Phone (386) 481-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1659859544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "386-481-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "386-481-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPS",
        "first_name": "TAMERA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.