Individual provider Active NPI

Tatiana Barrera

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1902375595
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14260 Issued in FL
Practice address
14502 N Dale Mabry Hwy Ste 305-3
Tampa, FL 33618-2075
Phone
(813) 265-3476
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14260 FL Primary

Addresses

Primary practice location

14502 N Dale Mabry Hwy Ste 305-3
Tampa, FL 33618-2075

Mailing address

705 Brenton Leaf Dr
Ruskin, FL 33570-7921

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
14260FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TBMV Chiropractor CurrentSince Jun 4, 2023 Accepting new patients
Active Chiropractic, LLC Chiropractor CurrentSince Dec 1, 2022 Accepting new patients

Locations

28051 US Highway 19 N
Ste 106
Clearwater, FL 33761
Phone (727) 400-6000

14502 N Dale Mabry Hwy
Ste 3053
Tampa, FL 33618
Phone (813) 265-3476

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1902375595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BRENTON LEAF DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 N DALE MABRY HWY STE 305-3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182075",
            "telephone_number": "813-265-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14260",
            "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 Apr 21, 2023; 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.