Bayside Medical Practice of Vilano Beach LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC

Practice address

101 Yacht Club Dr
St Augustine, FL 32084-2196

Phone

(904) 217-4550

Fax

(904) 907-2113

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Tammy Rowland Dye, APNNPI 1871854638

Title

President

Phone

(305) 916-0183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Tammy Rowland Dye, RN, APRN, FNP

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1871854638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1760168330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SAN MARCO AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842729",
            "telephone_number": "904-217-4550",
            "fax_number": "904-907-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YACHT CLUB DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842196",
            "telephone_number": "904-217-4550",
            "fax_number": "904-907-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 San Marco Ave",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320842729",
            "country_code": "US",
            "telephone_number": "904-217-4550",
            "fax_number": "904-907-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ROWLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-916-0183",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle M Bauer, LMHC
• Olivia Baumeister, RBT
• Julie Baumgartner, IBCLC
• Larry Baumgartner
• Melissa Baynes
• Beach Point Acupuncture, LLC
• Daniel Ray Beach, PT
• Robert Beach, PHARM.D
• Beachwalk Dental, PA
• Beacon Advanced Practice Group LLC

• Primary Care Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.