Active NPI
Dana Jedrick
- Assistant Behavior Analyst
- Tampa, FL
National Provider Identifier
1851841365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 3317 W Ellicott St
Tampa, FL 33614-6605 - Phone
- (239) 692-7892
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
3317 W Ellicott St
Tampa, FL 33614-6605
Mailing address
3317 West Elliott Street
Tampa, FL 33614
Phone (239) 692-7892
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1851841365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 WEST ELLIOTT STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "239-692-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 W ELLICOTT ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146605",
"telephone_number": "239-692-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEDRICK",
"first_name": "DANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.