Tania Cristina De Jesus Brady, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11024842 Issued in FL

Practice address

2316 Lakeview St
Lakeland, FL 33801-2553

Phone

(863) 709-4445

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Diseases Care for All LLC

  • Gastroenterology Physician
  • Lakeland, FL
  • NPI 1346484565
  Medicare reassignment NPD
• Comprehensive Psychiatric Associates LLC

  • Psychiatry Physician
  • Lakeland, FL
  • NPI 1457714834
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1922851690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 LAKEVIEW ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012553",
            "telephone_number": "863-709-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 LAKEVIEW ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012553",
            "telephone_number": "863-709-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS BRADY",
        "first_name": "TANIA",
        "middle_name": "CRISTINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11024842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rozell Davis, RN
• Whitney Davis
• Nicole Marie Dawson, MD
• Stephanie Renea Dawson, IBCLC
• Daybreak Counseling, P.a.
• Wileen De Jesus Caro
• Gustavo Alberto De Jesus-Gomez, M.D.
• Malena De la Concepcion Hernandez
• Giovaninna De la Cruz, MD
• Indira De la Paz

• Acute Care Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.