Organization Active NPI

Tampa Women'S Wellness Center, P.a.

  • Women's Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1750494878
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP2566422 Issued in FL
Legal business name
TAMPA WOMEN'S WELLNESS CENTER, P.A.
Practice address
4700 N Habana Ave
Suite 401
Tampa, FL 33614-7160
Phone
(813) 877-6644
Fax
(813) 877-3501
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Estrella L Clement, M.S. ,A.R.N.P.
Title
Ceo
Phone
(813) 877-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X ARNP2566422 FL Primary

Addresses

Primary practice location

4700 N Habana Ave
Suite 401
Tampa, FL 33614-7160

Mailing address

PO Box 2936
Riverview, FL 33568-2936
Phone (813) 877-6644

National Provider Directory

National Provider Directory

Locations

4700 N Habana Ave
Ste 401
Tampa, FL 33614
Phone (813) 877-6644

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750494878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2936",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335682936",
            "telephone_number": "813-877-6644",
            "fax_number": "813-877-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-877-6644",
            "fax_number": "813-877-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA WOMEN'S WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "ESTRELLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-877-6644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. ,A.R.N.P."
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP2566422",
            "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 Aug 22, 2020; 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.