Individual provider Active NPI

Tara Leigh Strickland, ARNP, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Saint Augustine, FL
National Provider Identifier
1861990558
Registry record updated Jan 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9346708 Issued in FL
Practice address
400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone
(904) 819-4085
Fax
(904) 819-5056
NPI assigned
Jan 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9346708 FL Primary

Addresses

Primary practice location

400 Health Park Blvd
Saint Augustine, FL 32086-5784

Mailing address

400 Health Park Blvd Ste 300
Saint Augustine, FL 32086-5784
Phone (904) 819-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180326001182 FL Practitioner - Nurse Practitioner 2365704616 Reassigns benefits to 2 organizations
I20201103002685 GA Practitioner - Nurse Practitioner 2365704616

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ibrahim Heart Clinic PLLCGroup PAC ID 4688958648, 43 clinicians

Practice addresses (Care Compare)

5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Phone (904) 580-4730

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9346708FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ibrahim Heart Clinic PLLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

1590 Island Ln
Ste 73
Fleming Island, FL 32003

5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

319 W Call St
Ste B
Starke, FL 32091
Phone (904) 368-9102

Organizations & group practices 2

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": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517011200000",
    "number": "1861990558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD STE 300",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4085",
            "fax_number": "904-819-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4085",
            "fax_number": "904-819-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "TARA",
        "middle_name": "LEIGH",
        "credential": "ARNP, FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2018-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9346708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.