Nancy Pauline

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8056 Issued in FL

Legal business name

NANCY PAULINE

Practice address

6003 Ambassador Dr
Tampa, FL 33615-3435

Phone

(813) 886-0481

Fax

(813) 925-3825

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Robert A Loomis

Title

Administrator

Phone

(813) 855-7241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Serena Doing business as

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1932484573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 AMBASSADOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153435",
            "telephone_number": "813-886-0481",
            "fax_number": "813-925-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 AMBASSADOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153435",
            "telephone_number": "813-886-0481",
            "fax_number": "813-925-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY PAULINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-855-7241"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140090800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Serena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Venan Ebimobowei Nanakumo, MPHARM
• Ashvi Nanavati
• Gaurang Nanavati, D.D.S
• Lorie Nance, R.N.
• Anayansy Nanclares
• Paul Kalra Nanda, M.D.
• Mallikarjuna Nandyala, M.D.
• Nannette Diaz DPM PA
• Alexandra Lauren Nanos, APRN
• Brian Napert

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.