Active NPI
Teresa Nuss Gore, APRN
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1689951097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9414542
- Practice address
- 4202 E Fowler Ave Stop Shs100
Tampa, FL 33620-5349 - Phone
- (813) 974-2331
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9414542 | FL | Primary |
Addresses
Primary practice location
4202 E Fowler Ave Stop Shs100
Tampa, FL 33620-5349
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101052000 | Medicaid | FL | |
| KL653 | Other | FL | MEDICARE |
| 61AAE | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgore149000@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9414542 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- tgore149000@direct.tgh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1689951097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 E FOWLER AVE STOP SHS100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336205349",
"telephone_number": "813-974-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "TERESA",
"middle_name": "NUSS",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9414542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101052000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KL653",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "61AAE",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgore149000@direct.tgh.org",
"affiliation": "N",
"address_1": "4202 E Fowler Ave Stop Shs100",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336205349",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.