NPIMap

Organization Active NPI

Tampa Metropolitan Area Young Men's Christian Association Inc

  • Health Educator
  • Tampa, FL
National Provider Identifier
1710434121
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
TAMPA METROPOLITAN AREA YOUNG MEN'S CHRISTIAN ASSOCIATION INC
Practice address
110 E Oak Ave
Tampa, FL 33602-2210
Phone
(813) 224-9622
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dawn E Phelps
Title
Cfo
Phone
(813) 224-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

110 E Oak Ave
Tampa, FL 33602-2210

Mailing address

110 E Oak Ave
Tampa, FL 33602-2210
Phone (813) 224-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213000927 FL MDPP Supplier - in-Person MDPP Supplier 1355689506 Practice locations: Dade City, FL; Zephyrhills, FL; Valrico, FL; Tampa, FL; Seffner, FL; Riverview, FL; Plant City, FL

National Provider Directory

National Provider Directory

Locations

110 E Oak Ave
Tampa, FL 33602
Phone (813) 224-9622

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1710434121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022210",
            "telephone_number": "813-224-9622",
            "fax_number": "813-229-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022210",
            "telephone_number": "813-224-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA METROPOLITAN AREA YOUNG MEN'S CHRISTIAN ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-224-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.