Individual provider Active NPI

Ada C Tapper, ARNP

  • Adult Health Nurse Practitioner
  • Lithia, FL
National Provider Identifier
1669425229
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9197351 Issued in FL
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

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000984 FL Practitioner - Nurse Practitioner 8123084761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9197351FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Health Solutions LLC Adult Health CurrentSince Jan 14, 2019 Accepting new patients
Ace Endeavors LLC Past Accepting new patients
Salazar Family Health Care, Inc PastSince Aug 11, 2010 Accepting new patients

Locations

5668 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 324-1604

Interoperability endpoints

  • Direct secure messaging: ada.tapper.1@7923.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.