Active NPI
Tania Leandra Placencia, PA
- Physician Assistant
- Tavernier, FL
National Provider Identifier
1801429683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 642-P.A
- Practice address
- 90130 Old Hwy
Tavernier, FL 33070-2368 - Phone
- (305) 852-9300
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 642-P.A | PR | Primary |
Addresses
Primary practice location
90130 Old Hwy
Tavernier, FL 33070-2368
Mailing address
101425 Overseas Hwy # 190
Key Largo, FL 33037-4505
Phone (305) 852-9300
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642-P.A | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1801429683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101425 OVERSEAS HWY # 190",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330374505",
"telephone_number": "305-852-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90130 OLD HWY",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330702368",
"telephone_number": "305-852-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACENCIA",
"first_name": "TANIA",
"middle_name": "LEANDRA",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "642-P.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tavernier, FL
- Arlenis De la Caridad Pardo Perez
- Pediatric Therapy Support LLC
- Matthew Peil
- Marilyn Penuela-Ladaga, ARNP
- Jennifer Perez, NP
- Plantation Key Care and Rehabilitation Center LLC
- Plantation Key Convalescent Center Inc
- Plantation Key Operating Company, LLC
- Annie Catherine Plate, M.D.
- Prevention Works, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.