Organization Active NPI

Your Best You, P.a.

  • Multi-Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1699217190
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Nov 15, 2016

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, CDENPI 1295958148
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
636270OtherFLMEDICAID ATN INDIV
IQ397AOtherFLMEDICARE PTAN
1245693530OtherNPI FOR YOUR BEST YOU, P.A.
2086 W. BUSCH BLVD.OtherREMOVE THIS ADDRESS
IQ399ZOtherFLMEDICARE PTAN (INDIV.)
636246OtherFLMEDICAID ATN GROUP

Other names 1

  • Personalized Primary & Diabetes Specialty Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Personalized Primary Diabetes Specialty Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "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.

Verify at the official NPI Registry.