Individual provider Active NPI

Tanya M Trussel, APRN-FNP-CB

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1881163590
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000535 Issued in FL
Practice address
6730 22ND Ave N Ste F
St Petersburg, FL 33710-3903
Phone
(727) 309-8428
Fax
(727) 245-8605
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000535 FL Primary
Registered Nurse 163W00000X 9335527 FL

Addresses

Primary practice location

6730 22ND Ave N Ste F
St Petersburg, FL 33710-3903

Mailing address

6730 22ND Ave N
Saint Petersburg, FL 33710-3938
Phone (727) 309-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9335527FLMDRegistered Nurse
11000535FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Rejuvenated Healthcare LLC Current Accepting new patients

Locations

3641 Tyrone Blvd N
Ste 3
St Petersburg, FL 33710
Phone (727) 301-9628

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1881163590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 22ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337103938",
            "telephone_number": "727-309-8428",
            "fax_number": "727-245-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 22ND AVE N STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103903",
            "telephone_number": "727-309-8428",
            "fax_number": "727-245-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSEL",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "APRN-FNP-CB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000535",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9335527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.