Individual provider Active NPI

Timothy L. Liles-Ramos, MSN, ARNP-BC

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1851884944
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9349580 Issued in FL
Practice address
214 Morrison Rd Ste 104
Brandon, FL 33511-4849
Phone
(813) 681-6474
Fax
(813) 654-8473
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9349580 FL
Nurse Practitioner 363L00000X APRN9349580 FL Primary

Addresses

Primary practice location

214 Morrison Rd Ste 104
Brandon, FL 33511-4849

Mailing address

214 Morrison Rd Ste 104
Brandon, FL 33511-4849
Phone (813) 681-6474

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210000701 FL Practitioner - Nurse Practitioner 4688918287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9349580FLMDNurse Practitioner
ARNP9349580FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose R Prieto MD PA CurrentSince Jun 2, 2022 Accepting new patients

Locations

214 Morrison Rd
Ste 104
Brandon, FL 33511
Phone (813) 681-6474

Interoperability endpoints

  • Direct secure messaging: timothy.ramos.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1851884944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MORRISON RD STE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114849",
            "telephone_number": "813-681-6474",
            "fax_number": "813-654-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES-RAMOS",
        "first_name": "TIMOTHY",
        "middle_name": "L.",
        "credential": "MSN, ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9349580",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9349580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.