Individual provider Active NPI

Tara Ann Philcox, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Citrus Springs, FL
National Provider Identifier
1982288171
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013056 Issued in FL
Practice address
9079 N Dickens Dr
Citrus Springs, FL 34434-4943
Phone
(305) 560-7583
Fax
(352) 218-7635
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN11013056 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013056 FL Primary

Addresses

Primary practice location

9079 N Dickens Dr
Citrus Springs, FL 34434-4943

Mailing address

9079 N Dickens Dr
Citrus Springs, FL 34434-4943
Phone (305) 560-7583

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230519000569 FL Practitioner - Nurse Practitioner 3678939592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9079 N Dickens Dr
Citrus Springs, FL 34434-4943
Phone (727) 619-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11013056FLMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Health Florida, PLLC Psychiatric/Mental Health CurrentSince Feb 8, 2023 Accepting new patients
Tara Philcox Limited Liability Company CurrentSince Sep 23, 2024 Accepting new patients

Locations

1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700

1572 Citrus Medical Ct
Ocoee, FL 34761

1540 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 245-8501

Organizations & group practices 2

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1982288171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9079 N DICKENS DR",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344344943",
            "telephone_number": "305-560-7583",
            "fax_number": "352-218-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9079 N DICKENS DR",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344344943",
            "telephone_number": "305-560-7583",
            "fax_number": "352-218-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILCOX",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013056",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Springs, FL

Sources for this page

Verify at the official NPI Registry.