Individual provider Active NPI

Tamika Ganzy

  • Registered Nurse
  • Winter Haven, FL
National Provider Identifier
1962973636
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
92777920 Issued in FL
Practice address
2985 Avenue G NW Ste 4
Winter Haven, FL 33880-2148
Phone
(863) 585-0919
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 92777920 FL Primary

Addresses

Primary practice location

2985 Avenue G NW Ste 4
Winter Haven, FL 33880-2148

Mailing address

4711 Mandolin Loop
Winter Haven, FL 33884-3624
Phone (863) 585-0916

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
92777920FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1962973636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 MANDOLIN LOOP",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843624",
            "telephone_number": "863-585-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 AVENUE G NW STE 4",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802148",
            "telephone_number": "863-585-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZY",
        "first_name": "TAMIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "92777920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.