Individual provider Active NPI

Tina Ann Upshaw

  • Homemaker
  • Ocala, FL
National Provider Identifier
1881949287
Registry record updated Jul 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
232692 Issued in FL
Practice address
1918 NW 44TH St
Ocala, FL 34475-3123
Phone
(352) 512-7682
Fax
(352) 512-0977
NPI assigned
Jul 21, 2012
Last updated
Jul 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 232692 FL Primary
Nurse's Aide 376K00000X 104223 FL

Addresses

Primary practice location

1918 NW 44TH St
Ocala, FL 34475-3123

Mailing address

1918 NW 44TH St
Ocala, FL 34475-3123
Phone (352) 512-7682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
232692FLMDHomemaker
104223FLMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342828800000",
    "number": "1881949287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 NW 44TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344753123",
            "telephone_number": "352-512-7682",
            "fax_number": "352-512-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 NW 44TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344753123",
            "telephone_number": "352-512-7682",
            "fax_number": "352-512-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPSHAW",
        "first_name": "TINA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-21",
        "last_updated": "2012-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "232692",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "104223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.