Individual provider Active NPI

Tammara Elise Masut, APRN, CNM

  • Advanced Practice Midwife
  • Largo, FL
National Provider Identifier
1851734875
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP 3378992 Issued in FL
Practice address
1900 E Bay Dr
Largo, FL 33771-2218
Phone
(727) 216-1420
Fax
(727) 216-1418
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP 3378992 FL Primary

Addresses

Primary practice location

1900 E Bay Dr
Largo, FL 33771-2218

Mailing address

1900 E Bay Dr
Largo, FL 33771-2218
Phone (727) 216-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612000428 FL Practitioner - Certified Nurse Midwife (CNM) 4880927557 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP 3378992FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Star Tampa, Inc Current Accepting new patients
Guiding Star Tampa, Inc Current Accepting new patients
OB Hospitalist Group LLC Current Accepting new patients
OB Hospitalist Group LLC CurrentSince Apr 8, 2025 Accepting new patients
OB Hospitalist Group LLC CurrentSince Apr 8, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Oct 22, 2024 Accepting new patients
Chuck R. Colas, D.O., P.C. Past Accepting new patients
Breath of Life Birth Center LLC Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1900 E Bay Dr
Largo, FL 33771
Phone (727) 216-1420

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1851734875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712218",
            "telephone_number": "727-216-1420",
            "fax_number": "727-216-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712218",
            "telephone_number": "727-216-1420",
            "fax_number": "727-216-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUT",
        "first_name": "TAMMARA",
        "middle_name": "ELISE",
        "credential": "APRN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 3378992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.