TANIYA S ELDRIDGE (NPI# 1508166042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508166042 |
| Entity Type | Individual |
| Full Name | TANIYA S ELDRIDGE |
| Other Name | TANIYA FUENTES |
| Credential | ARNP |
| Practice Address |
1301 2nd Ave Sw Ste 315 Largo FL 33770-3120 |
| Practice Telephone | 7275877120 |
| Mailing Telephone | 7275877120 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9259521 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 2ND AVE SW STE 315 |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205051125 | Jessica Mcgargle Heinberg | Physician Assistant | 1301 2nd Ave Sw Ste 315, Largo, FL 33770 | 2007-04-16 |
| 1356825632 | Maximillian Luke Covert | Nurse Practitioner | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2018-09-21 |
| 1750876496 | Jennifer Leigh Patton | Nurse Practitioner | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2018-06-26 |
| 1033608443 | Stephanie Coombs | Physician Assistant | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2018-05-02 |
| 1245503788 | Emad Kishi | Transplant Surgery | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2012-02-14 |
| 1811174634 | Mohamed M Taha | Internal Medicine | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371173 | Rachael L Staton | Nurse Practitioner | 12347 84th Way, Largo, FL 33773-2804 | 2020-06-18 |
| 1316447881 | Deanna Nicole Johnson | Nurse Practitioner | 1301 2nd Ave Sw Ste 303, Largo, FL 33770-3120 | 2018-02-20 |
| 1548795370 | Donna F. Arenas | Nurse Practitioner | 12442 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-04-30 |
| 1538549613 | Jessica Bremm | Nurse Practitioner | 8787 Bryan Dairy Road, Suite 210, Largo, FL 33777-1206 | 2015-06-04 |
| 1922486844 | Madeline Waters | Nurse Practitioner | 8787 Bryan Dairy Rd Ste 210, Largo, FL 33777-1253 | 2015-05-12 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1528174216 | Collette Palmisano | Nurse Practitioner | 3600 Oak Manor Ln Apt 46, Largo, FL 33774-1214 | 2006-08-22 |
| 1154355873 | Betsy Charlotte Parker | Nurse Practitioner | 3800 East Bay Dr, East Bay Medical Center, Largo, FL 33771 | 2006-07-10 |
| 1336193689 | Warseal Powell | Nurse Practitioner | 1100 Mercantile Ln Ste 135, Largo, MD 20774-5361 | 2006-05-20 |
| 1225010275 | Joann M Howell | Nurse Practitioner | 1345 W Bay Dr, Ste 301, Largo, FL 33770-2282 | 2005-11-16 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.