Active NPI
Ada C Tapper, ARNP
- Adult Health Nurse Practitioner
- Lithia, FL
National Provider Identifier
1669425229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9197351
- Practice address
- 5668 Fishhawk Crossings Blvd. Ste 121
Lithia, FL 33547-3354 - Phone
- (813) 324-1604
- Fax
- (863) 774-3777
- NPI assigned
- May 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9197351 | FL | Primary |
Addresses
Primary practice location
5668 Fishhawk Crossings Blvd. Ste 121
Lithia, FL 33547-3354
Mailing address
5668 Fishhawk Crossings Blvd. Ste 121
Lithia, FL 33547
Phone (813) 324-1604
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206000984 | FL | Practitioner - Nurse Practitioner | 8123084761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9197351 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Act Health Solutions LLC | Adult Health | Current | Accepting new patients |
| Ace Endeavors LLC | Past | Accepting new patients | |
| Salazar Family Health Care, Inc | Past | Accepting new patients |
Locations
5668 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 324-1604
Interoperability endpoints
- ada.tapper.1@7923.direct.athenahealth.com
- ada.tapper.1@29664.direct.athenahealth.com
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.
-
- Adult Health Nurse Practitioner
- Lithia, FL
- NPI 1801369418
-
- General Practice Physician
- Tampa, FL
- NPI 1861543803
-
- Family Medicine Physician
- Mulberry, FL
- NPI 1437141686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1669425229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5668 FISHHAWK CROSSINGS BLVD. STE 121",
"city": "LITHIA",
"state": "FL",
"postal_code": "33547",
"telephone_number": "813-324-1604",
"fax_number": "863-774-3777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5668 FISHHAWK CROSSINGS BLVD. STE 121",
"city": "LITHIA",
"state": "FL",
"postal_code": "335473354",
"telephone_number": "813-324-1604",
"fax_number": "863-774-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPPER",
"first_name": "ADA",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9197351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.