Individual provider Active NPI

Nataliya K Sia, RN, ARNP

  • Adult Health Nurse Practitioner
  • Apollo Beach, FL
National Provider Identifier
1720328891
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9303959 Issued in FL
Practice address
400 Frandorson Cir Ste 103
Apollo Beach, FL 33572-2688
Phone
(813) 398-0470
Fax
(813) 888-9727
NPI assigned
Feb 26, 2013
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9303959 FL Primary

Addresses

Primary practice location

400 Frandorson Cir Ste 103
Apollo Beach, FL 33572-2688

Mailing address

400 Frandorson Cir Ste 103
Apollo Beach, FL 33572-2688
Phone (813) 398-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131126000823 FL Practitioner - Nurse Practitioner 8123254950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 W Morgan St
Brandon, FL 33510-4429
Phone (813) 398-0470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9303959FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Medical Care Clinic LLC CurrentSince Nov 7, 2013 Accepting new patients
Jessica J Wilson Chan D O PA CurrentSince Nov 3, 2019 Accepting new patients
Physical Medicine Center CurrentSince Jul 1, 2015 Accepting new patients

Locations

400 Frandorson Cir
Ste 4138
Apollo Beach, FL 33572
Phone (813) 398-0470

205 W Morgan St
Brandon, FL 33510
Phone (813) 340-4511

14522 University Point Pl
Tampa, FL 33613
Phone (813) 978-0020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1720328891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANDORSON CIR STE 103",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722688",
            "telephone_number": "813-398-0470",
            "fax_number": "813-888-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANDORSON CIR STE 103",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722688",
            "telephone_number": "813-398-0470",
            "fax_number": "813-888-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIA",
        "first_name": "NATALIYA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9303959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.