Active NPI
Kendall Brittany Tan, CAA
- Anesthesiologist Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA694
- Practice address
- 62 Columbia St
Orlando, FL 32806-1115 - Phone
- (321) 843-5851
- Fax
- (321) 843-1673
- NPI assigned
- Sep 1, 2021
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA694 | FL | Primary |
Addresses
Primary practice location
62 Columbia St
Orlando, FL 32806-1115
Mailing address
62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851
Other practice location 1
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (407) 973-2588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Hancock Rd
Minneola, FL 34715-8184
Phone (689) 289-2000
2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 614-0500
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
62 Columbia St
Orlando, FL 32806
Phone (321) 214-4903
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Anesthesiologist Assistant
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1699443986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061115",
"telephone_number": "321-843-5851",
"fax_number": "321-843-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 COLUMBIA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061115",
"telephone_number": "321-843-5851",
"fax_number": "321-843-1673"
}
],
"practiceLocations": [
{
"address_1": "1 Shircliff Way",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044748",
"country_code": "US",
"telephone_number": "407-973-2588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAN",
"first_name": "KENDALL",
"middle_name": "BRITTANY",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.