Individual provider Active NPI

Tanisha Fiona Hyatt, NP

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1720697477
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007827 Issued in FL
Practice address
311 Bullard Pkwy Ste a
Temple Terrace, FL 33617-5543
Phone
(877) 448-3627
Fax
(866) 507-1164
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007827 FL Primary

Addresses

Primary practice location

311 Bullard Pkwy Ste a
Temple Terrace, FL 33617-5543

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-6748

Other names 1

  • Tanisha F Powell Former name

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
I20200731001829 FL Practitioner - Nurse Practitioner 2365867736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

1410 Dr M L King Jr St N
Safety Harbor, FL 34695-3303
Phone (732) 552-8922

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

1700 Monroe Ave
Maitland, FL 32751-6672
Phone (407) 647-2092

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

301 S Gloria St
Clewiston, FL 33440-3520
Phone (863) 983-5123

341 Bullard Pkwy
Suite a B
Temple Terrace, FL 33617-5544
Phone (877) 448-3627

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007827FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Sep 28, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Sep 28, 2024 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jul 29, 2020 Accepting new patients
Mana Health Partners PA CurrentSince Feb 6, 2026 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jul 29, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

5949 17th Ave W
Bradenton, FL 34209
Phone (941) 753-3098

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

13550 SW 120th St
Ste 510
Miami, FL 33186

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

1410 Ml King St N
Safety Harbor, FL 34695

10950 Sheldon Rd
Tampa, FL 33626
Phone (813) 792-0444

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Interoperability endpoints

  • Direct secure messaging: tanisha.hyatt.1@29290.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1720697477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-6748",
            "fax_number": "630-734-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BULLARD PKWY STE A",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175543",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "TANISHA",
        "middle_name": "FIONA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANISHA",
            "last_name": "POWELL",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.