MS. TANYA B. KEELEY (NPI# 1558307066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558307066 |
| Entity Type | Individual |
| Full Name | MS. TANYA B. KEELEY |
| Other Name | TANYA D., BROUSSEAU |
| Credential | P.A.-C. |
| Practice Address |
1200 7th Ave N Saint Petersburg FL 33705-1300 |
| Mailing Address |
Po Box 55342 Saint Petersburg FL 33732-5342 |
| Practice Telephone | 7278251100 |
| Mailing Telephone | 7274980629 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101504 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Y00S1 | 01 |
| FL | 291815300 | 05 |
| Street Address |
1200 7TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33705-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014874 | Bethany G Corke | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2019-10-09 |
| 1316597206 | Catherine Ariana Pallas | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2019-09-12 |
| 1720559800 | Brittani Diviney | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2018-12-16 |
| 1922577717 | Kelly Moran | Respiratory Therapist, Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2018-11-21 |
| 1275001943 | Gabriela Ycaza Sutherland | Registered Nurse | 1200 7th Ave N, Saint Petersburg, FL 33705-1388 | 2018-11-11 |
| 1477062073 | Meghan Mattson | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2017-09-26 |
| 1710401443 | Kathleen Ryanne Howe | Nurse Practitioner | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2017-08-03 |
| 1558724955 | Daniel Ryczek | Emergency Medicine | 1200 7th Ave N, Saint Petersburg, FL 33705 | 2016-04-01 |
| 1811353667 | Matthew Lee Timmons | Pharmacist | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 | 2016-01-09 |
| 1215301684 | Jelena Savic | Nurse Anesthetist, Certified Registered | 1200 7th Ave N, Saint Petersburg, FL 33705 | 2015-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968158 | Jaime Lynne Rodriquez | Physician Assistant | 2091 Pinellas Point Dr S, Saint Petersburg, FL 33712-5823 | 2020-09-26 |
| 1255962650 | Jordan Nicole O'connor | Physician Assistant | 430 3rd Ave S Apt 343, Saint Petersburg, FL 33701-4190 | 2020-02-04 |
| 1437509437 | Koren Schram | Physician Assistant | 12000 4th St N, Apt 612, Saint Petersburg, FL 33716-1765 | 2016-06-21 |
| 1710348479 | Katrina Potithavoranant | Physician Assistant | 620 10th St N Ste 1e, Saint Petersburg, FL 33705-1407 | 2016-03-09 |
| 1114354362 | Zoey Claire Francis | Physician Assistant | 3950 3rd St N Ste A, Saint Petersburg, FL 33703-6123 | 2013-10-02 |
| 1063844561 | Sherill Albert | Physician Assistant | 2345 14th St N, Saint Petersburg, FL 33704-3121 | 2013-08-07 |
| 1992838528 | Mary Beth Layfield | Physician Assistant | 1528 27th Ave N, Saint Petersburg, FL 33704-2642 | 2007-03-13 |
| 1871533430 | Mary Eloise Patterson | Physician Assistant | 3980 64th St N, Apt. 27, Saint Petersburg, FL 33709-4823 | 2006-06-08 |
| 1831155035 | Sherri Jubay | Physician Assistant | 881 Carillon Parkway Tower 4, Saint Petersburg, FL 33716 | 2006-04-25 |
| 1790390011 | Elodie Guez | Physician Assistant | 8950 Dr Martin Luther King Jr St N Ste 102, Saint Petersburg, FL 33702-3001 | 2020-09-14 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on MS. TANYA B. KEELEY.
| 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.