Tamara Lea Maynard, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11012054 Issued in FL

Practice address

18934 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4914

Phone

(813) 948-2679

Fax

(813) 948-2694

NPI assigned

May 15, 2021

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nirmala Inc

  dba Sunshine Pediatrics of Lutz

  • Pediatrics Physician
  • Lutz, FL
  • NPI 1336365907
  NPD (past)

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1710551650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18934 N DALE MABRY HWY STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484914",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18934 N DALE MABRY HWY STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484914",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TAMARA",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11012054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Maurell Montero
• Richard Anthony Mauro, P.T.
• Curtis Mavor, LCSW
• Maxxycom Investment Corp (Integra Rx)
• Ann Maynard Payne
• MC Medical LLC (Walmart Health)
• Kristen McCallum
• Donsld B McCann, MA, LMHC
• Julia McCann, DO
• Paul R McCarthy, PH.D.

• Pediatric Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.