Active NPI
Marie E. Simeon
- Nursing Facility/Intermediate Care Facility
- Tampa, FL
National Provider Identifier
1902263007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 6906802
- Practice address
- 8206 Pennywell Place
Tampa, FL 33615 - Phone
- (813) 445-9763
- NPI assigned
- Jan 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 6906802 | FL | Primary |
Addresses
Primary practice location
8206 Pennywell Place
Tampa, FL 33615
Mailing address
8206 Pennywell Place
Tampa, FL 33615
Phone (813) 445-9763
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6906802 | FL | MD | Nursing Facility/Intermediate Care Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane'S Speial Home Care, Inc | Past | Accepting new patients |
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.
-
- Adult Care Home Facility
- Tampa, FL
- NPI 1083072789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1902263007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8206 PENNYWELL PLACE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33615",
"telephone_number": "813-445-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8206 PENNYWELL PLACE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33615",
"telephone_number": "813-445-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEON",
"first_name": "MARIE",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "FL",
"license": "6906802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.