Individual provider Active NPI

Griselle Virginia Figueredo-Cardenas, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1851340947
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME123886 Issued in FL
Practice address
3617 W Hillsborough Ave
Tampa, FL 33614
Phone
(813) 875-2020
Fax
(855) 785-2883
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31712 TN
Family Medicine Physician 207Q00000X ME123886 FL Primary

Addresses

Primary practice location

3617 W Hillsborough Ave
Tampa, FL 33614

Mailing address

8400 NW 33Rd St Ste 201
Doral, FL 33122-1937
Phone (786) 408-8502

Other practice location 1

6605 Stage Rd
Bartlett, TN 38134-2808
Phone (901) 385-6988

Other identifiers 1

IdentifierTypeStateIssuer
31712OtherTNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123886FLMDFamily Medicine Physician
31712TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Family Medicine CurrentSince Aug 14, 2012 Accepting new patients
Meharry Health Network, PC Family Medicine PastSince Jul 1, 2020 Accepting new patients
Shelby County Health Care Corporation Past Accepting new patients

Locations

6605 Stage Rd
Ste 1
Bartlett, TN 38134
Phone (901) 367-0811

6605 Stage Rd
Bartlett, TN 38134
Phone (901) 385-6988

6590 Summer Knoll Cv
Ste 101
Bartlett, TN 38134

Organizations & group practices 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1851340947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "786-408-8502",
            "fax_number": "305-921-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-875-2020",
            "fax_number": "855-785-2883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6605 Stage Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381342808",
            "country_code": "US",
            "telephone_number": "901-385-6988",
            "fax_number": "901-385-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIGUEREDO-CARDENAS",
        "first_name": "GRISELLE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "31712",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "31712",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.