Individual provider Active NPI

Taylor Emmerman, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1669208245
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035787 Issued in FL
Practice address
11912 Sheldon Rd
Tampa, FL 33626-3643
Phone
(813) 920-8882
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9548095 FL
Family Nurse Practitioner 363LF0000X APRN11035787 FL Primary

Addresses

Primary practice location

11912 Sheldon Rd
Tampa, FL 33626-3643

Mailing address

3001 Executive Dr Ste 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

Other practice location 1

4695 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 920-8882

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
I20241106000046 FL Practitioner - Nurse Practitioner 4981138542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

11912 Sheldon Rd
Tampa, FL 33626-3643
Phone (813) 920-8882

4695 Van Dyke Rd
Lutz, FL 33558-4880
Phone (813) 920-8882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9548095FLMDRegistered Nurse
APRN11035787FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP CurrentSince Oct 22, 2024 Accepting new patients
Florida Digestive Health Specialists, LLP CurrentSince Dec 1, 2025 Accepting new patients
Gastro Florida Pharmacy, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

4695 Van Dyke Rd
Lutz, FL 33558
Phone (813) 920-8882

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

11912 Sheldon Rd
Westchase, FL 33626
Phone (813) 920-8882

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1669208245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "813-920-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4695 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335584880",
            "country_code": "US",
            "telephone_number": "813-920-8882",
            "fax_number": "813-920-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMERMAN",
        "first_name": "TAYLOR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9548095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.