Individual provider Active NPI

Tashana Lapierre, LPN

  • Licensed Practical Nurse
  • Jacksonville, FL
National Provider Identifier
1902645526
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5207214 Issued in FL
Practice address
9263 Thunderbolt Dr
Jacksonville, FL 32221-8054
Phone
(904) 307-9493
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5207214 FL Primary

Addresses

Primary practice location

9263 Thunderbolt Dr
Jacksonville, FL 32221-8054

Mailing address

9263 Thunderbolt Dr
Jacksonville, FL 32221-8054
Phone (904) 307-9493

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
PN5207214FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Full-Out Wellness Healthcare Staffing Licensed Practical Nurse PastSince May 26, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1902645526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 THUNDERBOLT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218054",
            "telephone_number": "904-307-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 THUNDERBOLT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218054",
            "telephone_number": "904-307-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPIERRE",
        "first_name": "TASHANA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5207214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.