Individual provider Active NPI

Norma Othmer

  • Assisted Living Facility
  • Land O Lakes, FL
National Provider Identifier
1841755857
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
6906552 Issued in FL
Practice address
22707 Roderick Dr
Land O Lakes, FL 34639-4098
Phone
(813) 244-0107
Fax
(813) 388-2818
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X FL
Assisted Living Facility 310400000X 6906552 FL Primary

Addresses

Primary practice location

22707 Roderick Dr
Land O Lakes, FL 34639-4098

Mailing address

22707 Roderick Dr
Land O Lakes, FL 34639-4098
Phone (813) 244-0107

Other identifiers 1

IdentifierTypeStateIssuer
735424MedicaidFL

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
6906552FLMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Norma Family Home Care LLC Assisted Living Facility Past Accepting new patients

Organizations & group practices 1

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1841755857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22707 RODERICK DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394098",
            "telephone_number": "813-244-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22707 RODERICK DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394098",
            "telephone_number": "813-244-0107",
            "fax_number": "813-388-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHMER",
        "first_name": "NORMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735424",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.