Active NPI
Griselle Virginia Figueredo-Cardenas, MD
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1851340947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME123886
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31712 | Other | TN | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME123886 | FL | MD | Family Medicine Physician |
| 31712 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Life | Family Medicine | Current | Accepting new patients |
| Meharry Health Network, PC | Family Medicine | Past | 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.
-
- Clinic Pharmacy
- Memphis, TN
- NPI 1629542493
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.