Individual provider Active NPI

Dianna Taylor, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1689425712
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031947 Issued in FL
Practice address
15508 Timberline Dr
Tampa, FL 33624-1618
Phone
(813) 464-0925
NPI assigned
Mar 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11031947 FL Primary

Addresses

Primary practice location

15508 Timberline Dr
Tampa, FL 33624-1618

Mailing address

15508 Timberline Dr
Tampa, FL 33624-1618
Phone (813) 464-0925

Other names 1

  • Dianna Olavarria Former 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
I20240724000411 FL Practitioner - Nurse Practitioner 3173069333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Urgent Care ServicesGroup PAC ID 2961628615, 6 clinicians

Practice addresses (Care Compare)

3301 W Gandy Blvd
TGH Urgent Care Powered by Fast Tra
Tampa, FL 33611-2931
Phone (813) 925-1903

640 Tyrone Blvd N
St. Petersburg, FL 33710-7126
Phone (727) 528-7827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031947FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jul 10, 2024 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jul 10, 2024 Accepting new patients
Professional Urgent Care Services CurrentSince May 1, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

640 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 347-6577

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

6182 Gunn Hwy
Tampa, FL 33625
Phone (813) 568-4388

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: dtaylor303541@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1689425712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 TIMBERLINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241618",
            "telephone_number": "813-464-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 TIMBERLINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241618",
            "telephone_number": "813-464-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "OLAVARRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.