Individual provider Active NPI

Arianne Tellez

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1679234413
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017537 Issued in FL
Practice address
5112 N Habana Ave
Tampa, FL 33614-6873
Phone
(813) 374-2406
NPI assigned
Jan 4, 2022
Last updated
Feb 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12210805 FL
Family Nurse Practitioner 363LF0000X 11017537 FL Primary

Addresses

Primary practice location

5112 N Habana Ave
Tampa, FL 33614-6873

Mailing address

5112 N Habana Ave
Tampa, FL 33614-6873
Phone (813) 374-2406

Other names 1

  • Arianne Gallo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tampa

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, AZ, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220525003068 FL Practitioner - Nurse Practitioner 8123406550 Reassigns benefits to 2 organizations
I20250612001383 TX Practitioner - Nurse Practitioner 8123406550 Reassigns benefits to 1 organization
I20250801001742 AZ Practitioner - Nurse Practitioner 8123406550 Reassigns benefits to 1 organization
I20260407003209 OH Practitioner - Nurse Practitioner 8123406550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2570 Lynn Rd
Chappell Hill, TX 77426-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11017537FLMDFamily Nurse Practitioner
12210805FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jul 3, 2025 Accepting new patients
Monogram Health Professional Services of Texas PLLC Nurse Practitioner CurrentSince May 13, 2025 Accepting new patients
Monogram Health Professional Services of Florida LLC Nurse Practitioner CurrentSince Dec 27, 2023 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Sep 23, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jul 3, 2025 Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: arianne.gallo.1@22854.direct.athenahealth.com
  • Direct secure messaging: arianne.tellez.1@27775.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1679234413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "ARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "12210805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tampa",
            "affiliation": "N",
            "address_1": "5112 N Habana Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336146873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARIANNE",
            "last_name": "GALLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.