Individual provider Active NPI

Tymber Tatum Terrell, APRN

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1861018988
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007399 Issued in FL
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

Updated by the provider on Jul 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1861018988OtherFLPROVIDER TYPE 1 NPI
APRN11007399OtherFLLICENSE

Other names 1

  • Tymber Lee Tatum Former name

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
I20220410000102 FL Practitioner - Nurse Practitioner 3779979257 Reassigns benefits to 3 organizations

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
David C Terrell Jr Arnp, PAGroup PAC ID 4082022041, 5 clinicians
Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

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 100Reported as group
Quality
98.33
Improvement activities
40
Cost
69.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11007399FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Physicians, PA Single Specialty CurrentSince Aug 6, 2025 Accepting new patients
David C Terrell Jr Arnp, PA Single Specialty CurrentSince Mar 9, 2022 Accepting new patients
Florida Rehab Specialists, PLLC Single Specialty CurrentSince Apr 20, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.