NPIMap

Organization Active NPI

Brevard TNT Holdings

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1841009461
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BREVARD TNT HOLDINGS
Practice address
7960 N Wickham Rd Ste 101
Melbourne, FL 32940-8096
Phone
(321) 364-2822
Fax
(877) 684-0805
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIDENT HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Tamara Edelstein-Snider, APRNNPI 1194293720
Title
Owner
Phone
(321) 364-2822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7960 N Wickham Rd Ste 101
Melbourne, FL 32940-8096

Mailing address

7960 N Wickham Rd Ste 101
Melbourne, FL 32940-8096
Phone (321) 364-2822

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Optimantra Direct Trident Healthcare LLC

National Provider Directory

National Provider Directory
Part of
Trident Healthcare LLC

Locations

7960 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 364-2822

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1841009461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 N WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408096",
            "telephone_number": "321-364-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 N WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408096",
            "telephone_number": "321-364-2822",
            "fax_number": "877-684-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD TNT HOLDINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIDENT HEALTHCARE LLC",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN-SNIDER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-364-2822",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Optimantra",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Trident Healthcare LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "7960 N Wickham Rd Ste 101",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.