Active NPI
Tymber Tatum Terrell, APRN
- Family Nurse Practitioner
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11007399
- Practice address
- 4289 NW American LN
Lake City, FL 32055-4881 - Phone
- (386) 628-8008
- Fax
- (386) 200-5755
- NPI assigned
- Jun 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11007399 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11007399 | FL | Primary |
Addresses
Primary practice location
4289 NW American LN
Lake City, FL 32055-4881
Mailing address
4289 NW American LN
Lake City, FL 32055-4881
Phone (386) 628-8008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861018988 | Other | FL | PROVIDER TYPE 1 NPI |
| APRN11007399 | Other | FL | LICENSE |
Other names 1
- Tymber Lee Tatum
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4289 NW American LN
Lake City, FL 32055-4881
Phone (386) 287-2111
817 NW 56TH Ter
Suite B
Gainesville, FL 32605-6401
Phone (352) 234-3050
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 98.33
- Improvement activities
- 40
- Cost
- 69.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11007399 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Family Physicians, PA | Single Specialty | Current | Accepting new patients |
| David C Terrell Jr Arnp, PA | Single Specialty | Current | Accepting new patients |
| Florida Rehab Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Islf-Deerwood Place-Jacksonville LLC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Single Specialty | Past | Accepting new patients |
Locations (25 of 95)
1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282
7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111
1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451
10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601
22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120
4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981
1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461
6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402
817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771
1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081
4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151
4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700
8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558
817 NW 56th Ter
Ste C
Gainesville, FL 32605
227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601
124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100
23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801
8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705
701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200
1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466
5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
2802 Parental Home Rd
Jacksonville, FL 32216
Phone (904) 721-0088
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Adult Medicine Physician
- Williston, FL
- NPI 1447941984
Single Specialty
-
- Adult Medicine Physician
- Gainesville, FL
- NPI 1245289206
Single Specialty
-
dba Regents Park of Jacksonville
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1548264096
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brooks Rehabilitation Home Health
- Home Health Agency
- Palatka, FL
- NPI 1255671129
-
dba HCA Florida Lake City Hospital
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784419200000",
"number": "1861018988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 NW AMERICAN LN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554881",
"telephone_number": "386-628-8008",
"fax_number": "386-200-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 NW AMERICAN LN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320554881",
"telephone_number": "386-628-8008",
"fax_number": "386-200-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "TYMBER",
"middle_name": "TATUM",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2026-07-19",
"certification_date": "2026-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11007399",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11007399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TYPE 1 NPI",
"identifier": "1861018988",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN11007399",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TYMBER",
"last_name": "TATUM",
"middle_name": "LEE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.