Individual provider Active NPI

Shirley Juanita Tabor, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1780922500
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9287498 Issued in FL
Practice address
8108 N Nebraska Ave
Tampa, FL 33604-3103
Phone
(813) 712-1930
Fax
(813) 405-3924
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9287498 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9287498 FL Primary

Addresses

Primary practice location

8108 N Nebraska Ave
Tampa, FL 33604-3103

Mailing address

PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930

Other practice location 1

5530 Northrop Rd
Milton, FL 32570-8701
Phone (910) 742-9243

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
I20130214000074 FL Practitioner - Nurse Practitioner 5193979441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integritynp, LLCGroup PAC ID 9830479054, 14 clinicians

Practice addresses (Care Compare)

8451 US 301
Riverview, FL 33578-5450
Phone (813) 359-9940

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashit K Vijapura MD PA CurrentSince Jun 16, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Sep 22, 2015 Accepting new patients
Integritynp, LLC CurrentSince Jul 20, 2022 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 22, 2015 Accepting new patients

Locations

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 5

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1780922500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043103",
            "telephone_number": "813-712-1930",
            "fax_number": "813-405-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Northrop Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325708701",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "SHIRLEY",
        "middle_name": "JUANITA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287498",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9287498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.