Active NPI
Your Best You, P.a.
- Multi-Specialty Clinic/Center
- Tampa, FL
National Provider Identifier
1699217190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- YOUR BEST YOU, P.A.
- Practice address
- 15511 N Florida Ave
Suite 502
Tampa, FL 33613-1263 - Phone
- (813) 936-2609
- Fax
- (813) 252-4452
- NPI assigned
- Nov 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shani Vann Davis, PHD, ANP-BC, CDE
- Title
- Owner, Nurse Practitioner
- Phone
- (813) 936-2609
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
15511 N Florida Ave
Suite 502
Tampa, FL 33613-1263
Mailing address
15511 N Florida Ave
Suite 502
Tampa, FL 33613-1263
Phone (813) 936-2609
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 636270 | Other | FL | MEDICAID ATN INDIV |
| IQ397A | Other | FL | MEDICARE PTAN |
| 1245693530 | Other | NPI FOR YOUR BEST YOU, P.A. | |
| 2086 W. BUSCH BLVD. | Other | REMOVE THIS ADDRESS | |
| IQ399Z | Other | FL | MEDICARE PTAN (INDIV.) |
| 636246 | Other | FL | MEDICAID ATN GROUP |
Other names 1
- Personalized Primary & Diabetes Specialty Care
National Provider Directory
National Provider Directory- Tax ID family
- Personalized Primary Diabetes Specialty Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1245693530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1295958148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479168000000",
"number": "1699217190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15511 N FLORIDA AVE",
"address_2": "SUITE 502",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131263",
"telephone_number": "813-936-2609",
"fax_number": "813-252-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15511 N FLORIDA AVE",
"address_2": "SUITE 502",
"city": "TAMPA",
"state": "FL",
"postal_code": "336131263",
"telephone_number": "813-936-2609",
"fax_number": "813-252-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR BEST YOU, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SHANI",
"authorized_official_middle_name": "VANN",
"authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
"authorized_official_telephone_number": "813-936-2609",
"authorized_official_credential": "PHD, ANP-BC, CDE"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID ATN INDIV",
"identifier": "636270",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IQ397A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR YOUR BEST YOU, P.A.",
"identifier": "1245693530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REMOVE THIS ADDRESS",
"identifier": "2086 W. BUSCH BLVD.",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIV.)",
"identifier": "IQ399Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID ATN GROUP",
"identifier": "636246",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Personalized Primary & Diabetes Specialty Care",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.