TAMPA VAMC (NPI# 1609264951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609264951 |
| Entity Type | Organization |
| Organization Name | TAMPA VAMC |
| Other Organization Name | HIDDEN RIVER VA CLINIC |
| Practice Address |
13515 Lake Terrace Ln Tampa FL 33637-1003 |
| Mailing Address |
Po Box 140773 Orlando FL 32814-0773 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HIDDEN RIVER VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
| 1548668791 | Tampa Vamc | Clinic/Center | 5138 Deer Park Boulevard, Suites 101 and 102, New Port Richey, FL 34653-7027 | 2014-12-19 |
| 1790183952 | Tampa Vamc | Clinic/Center | 6938 Medical View Ln Bldg 7, Suite 7, Zephyrhills, FL 33542-6602 | 2014-12-19 |
| 1548668700 | Tampa Vamc | Clinic/Center | 13000 N. Bruce B. Downs Blvd., Tampa, FL 33612-4745 | 2014-12-19 |
| 1720027600 | Tampa Vamc | Clinic/Center | 6937 Medical View Ln, Zephyrhills, FL 33542-6648 | 2006-06-06 |
| 1386694701 | Tampa Vamc | General Acute Care Hospital | 13000 N. Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-05-10 |
| 1669031126 | Tampa Vamc | Clinic/Center | 2804 W Marc Knighton Ct Ste A, Lecanto, FL 34461-6301 | 2019-06-10 |
| Street Address |
13515 LAKE TERRACE LN |
| City | TAMPA |
| State | FL |
| Zip Code | 33637-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679547152 | Suzanne S Knoeppel | Family Medicine | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2006-02-14 |
| 1447864475 | Amber Sabba Hassan | Psychologist | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2020-09-08 |
| 1780297911 | Christy Elizabeth Allen | Psychologist | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2020-08-27 |
| 1841803160 | Estefany Sabrina Bologna Nino | Psychologist | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2020-08-26 |
| 1639719693 | Brittany Marie Thomas | Dietitian, Registered | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2020-01-08 |
| 1417596313 | Jennifer Agustines | Dietitian, Registered | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2019-12-26 |
| 1851810980 | Meghann Lucia Sallee | Psychologist | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2017-09-09 |
| 1578013744 | Benjamin Dyson Lord | Psychologist | 13515 Lake Terrace Ln, Alpha Clinic, Tampa, FL 33637-1003 | 2016-10-11 |
| 1316497738 | Laura Trinastic | Psychologist | 13515 Lake Terrace Ln, Tampa, FL 33637 | 2016-10-10 |
| 1104375336 | Amie Satchell | Social Worker | 13515 Lake Terrace Ln, Tampa, FL 33637-1003 | 2016-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
| 1548668700 | Tampa Vamc | Clinic/Center | 13000 N. Bruce B. Downs Blvd., Tampa, FL 33612-4745 | 2014-12-19 |
| 1720486970 | Tampa Vamc | Clinic/Center | 10770 N 46th St, Suite 100, Tampa, FL 33617-3442 | 2014-12-19 |
| 1467850628 | Tampa Vamc | Clinic/Center | 14517 Bruce B Downs Blvd, Tampa, FL 33613-2755 | 2014-12-19 |
| 1811395072 | Tampa Vamc | Clinic/Center | 12210 Bruce B Downs Blvd, Tampa, FL 33612-9211 | 2014-12-19 |
| 1508264763 | Tampa Vamc | Clinic/Center | 13000 N. Bruce B. Downs Blvd., Tampa, FL 33612-4745 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
| 1548668791 | Tampa Vamc | Clinic/Center | 5138 Deer Park Boulevard, Suites 101 and 102, New Port Richey, FL 34653-7027 | 2014-12-19 |
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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.