Active NPI
Jorge Ma Tamano, MSN, APRN, A GNP C
- Adult Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1851758627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11027934
- Practice address
- 716 S Goldenrod Rd
Orlando, FL 32822-8108 - Phone
- (415) 934-4556
- NPI assigned
- Jan 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 864562 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11027934 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11027934 | FL | Primary |
Addresses
Primary practice location
716 S Goldenrod Rd
Orlando, FL 32822-8108
Mailing address
5363 Ragusa Loop
Saint Cloud, FL 34771-8045
Phone (410) 814-9302
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 864562 | TX | MD | Registered Nurse |
| APRN11027934 | FL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1851758627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 RAGUSA LOOP",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718045",
"telephone_number": "410-814-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 S GOLDENROD RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228108",
"telephone_number": "415-934-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMANO",
"first_name": "JORGE",
"middle_name": "MA",
"credential": "MSN, APRN, A GNP C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-25",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "864562",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11027934",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11027934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.