NPIMap

Organization Active NPI

Dcreasequeen, Inc.

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1689091050
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3257532 Issued in FL
Legal business name
DCREASEQUEEN, INC.
Practice address
11634 Bristol Chase Dr
Tampa, FL 33626-3300
Phone
(813) 215-7024
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Mrs. Denise Elaine Merdich, ARNPNPI 1851708374
Title
President
Phone
(813) 215-7024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3257532 FL Primary

Addresses

Primary practice location

11634 Bristol Chase Dr
Tampa, FL 33626-3300

Mailing address

11634 Bristol Chase Dr
Tampa, FL 33626-3300
Phone (813) 215-7024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1689091050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11634 BRISTOL CHASE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263300",
            "telephone_number": "813-215-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11634 BRISTOL CHASE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263300",
            "telephone_number": "813-215-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCREASEQUEEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "MERDICH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-215-7024",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "3257532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.