Individual provider Active NPI

Tia Tenease Barriner, APRN, FNP-BC

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1801416094
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006903 Issued in FL
Practice address
1626 Sterns Dr
Leesburg, FL 34748-2019
Phone
(352) 874-0657
Fax
(352) 728-6071
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 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 APRN11006903 FL Primary

Addresses

Primary practice location

1626 Sterns Dr
Leesburg, FL 34748-2019

Mailing address

1626 Sterns Dr
Leesburg, FL 34748-2019
Phone (352) 874-0657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006903FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1801416094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 STERNS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482019",
            "telephone_number": "352-874-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 STERNS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482019",
            "telephone_number": "352-874-0657",
            "fax_number": "352-728-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRINER",
        "first_name": "TIA",
        "middle_name": "TENEASE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.