Tennyson Meade, RN

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

RN 2693462 Issued in FL

Practice address

1310 S Park Ave
Sanford, FL 32771-3464

Phone

(407) 322-4317

NPI assigned

Nov 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1982001699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327720523",
            "telephone_number": "407-322-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S PARK AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713464",
            "telephone_number": "407-322-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "TENNYSON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": "RN 2693462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141377500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace McKinzie
• Melissa Ann McMillen, LMHC
• Blaize McMonagle, PTA
• Cora McNeese Nelson, LMHC
• Lillian McWilliams, RDN, PA-C
• Meals on Wheels, Etc., Inc.
• Medical Home Alliance LLC (IMA Medical Group - Sanford)
• Medical Home Alliance, LLC
• Alexis Medina
• Medpend, Inc.

• Attendant Care Provider in Sanford, FL
• Providers in Sanford, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.