Individual provider Active NPI

Tammy Paullin, ARNP

  • Adult Health Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1669973020
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9202347 Issued in FL
Practice address
2146 Vindale Rd
Tavares, FL 32778-5602
Phone
(352) 414-5987
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9202347 FL Primary
Gerontology Nurse Practitioner 363LG0600X 9202347 FL

Addresses

Primary practice location

2146 Vindale Rd
Tavares, FL 32778-5602

Mailing address

13 Crossandra Dr
Homosassa, FL 34446-8416
Phone (904) 434-0739

Other practice location 1

253 Winding Hollow Blvd
Winter Springs, FL 32708-4035
Phone (904) 434-0739

Other practice location 2

11680 Great Oaks Way
Alpharetta, GA 30022-2457
Phone (404) 977-6842

Other practice location 3

3201 SW 34th St
Ocala, FL 34474-7439
Phone (904) 434-0739

Other practice location 4

2273 Lee Rd Ste 201
Winter Park, FL 32789-7214
Phone (844) 973-6887

Other names 1

  • Tammy Dube Professional name

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
I20180410000734 FL Practitioner - Nurse Practitioner 0244593085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2146 Vindale Rd
Tavares, FL 32778-5602
Phone (352) 414-5987

263 Winding Hollow Blvd
Winter Springs, FL 32708-4035
Phone (844) 973-6887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9202347FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Vein and Wound Care Specialists LLC CurrentSince Jan 9, 2026 Accepting new patients
Patrick J. Opachich, D.C.P.a. CurrentSince Jul 24, 2021 Accepting new patients
Rapha Health and Wellness Center, LLC CurrentSince Jan 4, 2026 Accepting new patients
Pentus Health Primary Care Winter Springs LLC CurrentSince Jul 25, 2025 Accepting new patients
Vernu 2 Inc Past Accepting new patients
Vernu 2 Past Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA PastSince Apr 21, 2018 Accepting new patients

Locations

1610 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 387-4151

40 SW 12th St
Ste C101
Ocala, FL 34471
Phone (352) 351-3868

2146 Vindale Rd
Tavares, FL 32778
Phone (352) 343-7246

263 Winding Hollow Blvd
Winter Springs, FL 32708
Phone (407) 547-1585

253 Winding Hollow Blvd
Winter Springs, FL 32708
Phone (321) 888-3323

Interoperability endpoints

  • Direct secure messaging: tammy.paullin.1@24172.direct.athenahealth.com

Organizations & group practices 7

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1669973020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CROSSANDRA DR",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344468416",
            "telephone_number": "904-434-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 VINDALE RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785602",
            "telephone_number": "352-414-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Winding Hollow Blvd",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327084035",
            "country_code": "US",
            "telephone_number": "904-434-0739",
            "fax_number": "850-998-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11680 Great Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300222457",
            "country_code": "US",
            "telephone_number": "404-977-6842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 SW 34th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344747439",
            "country_code": "US",
            "telephone_number": "904-434-0739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2273 Lee Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327897214",
            "country_code": "US",
            "telephone_number": "844-973-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULLIN",
        "first_name": "TAMMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9202347",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9202347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "DUBE",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.