MRS. STASHA-GAE ALICIA ROBERTS


Address: 200 S Macdill Ave Ste 100, Tampa, FL 33609-3536
Phone: 8138372814

MRS. STASHA-GAE ALICIA ROBERTS (NPI# 1326443532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326443532
Entity Type Individual
Full Name MRS. STASHA-GAE ALICIA ROBERTS
Credential NURSE PRACTITIONER
Practice Address 200 S Macdill Ave Ste 100
Tampa
FL 33609-3536
Mailing Address 6101 Blue Lagoon Dr
Ste 400
Miami
FL 33126-2051
Practice Telephone 8138372814
Practice Fax Number 8668532860
Mailing Telephone 3055002027
Mailing Fax Number 3055002155
Enumeration Date 2014-10-30
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9168956 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 S MACDILL AVE STE 100
City TAMPA
State FL
Zip Code 33609-3536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861492498 Angela Y Ross-johnson Legal Medicine 200 S Macdill Ave Ste 100, Tampa, FL 33609-3536 2005-07-26
1366727570 Teresa Ann Zipeto Nurse Practitioner 200 S Macdill Ave Ste 100, Tampa, FL 33609-3536 2011-10-19
1558374454 Ron R Hiemstra Family Medicine 200 S Macdill Ave Ste 100, Tampa, FL 33609-3536 2006-08-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427521970 Kampsen Hearing LLC Audiologist 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 2019-01-08
1629557319 Priscilla Luna-mitchum Physical Therapist 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 2018-08-13
1043735657 Mary Elizabeth Osbach Registered Nurse 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 2017-08-04
1497275317 Jeilyn M Jimenez Developmental Therapist 550 N Reo Street, Tampa, FL 33609 2017-06-21
1033658513 Adela Reeb Specialist/Technologist 909 North Dale Mabry Hwy, Tampa, FL 33609 2017-02-17
1033561261 Abigail Marie Richardson Developmental Therapist 555 North Reo Street, Tampa, FL 33609 2016-07-12
1275992448 Jennifer Stich Behavioral Analyst 3210 W De Leon St # B, Tampa, FL 33609 2016-02-16
1154711505 Health E Systems, LLC Transportation Broker 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 2015-01-23
1619375292 Healthexchange Systems, LLC Home Health 5100 West Lemon Street, Suite 311, Tampa, FL 33609 2014-12-12
1538567458 Calvin Harrison Iv Occupational Therapist 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 2014-12-09
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1477154896 Christa Marie Mcnamara Nurse Practitioner 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 2020-11-03
1912510926 Oneeka Green Nurse Practitioner 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 2020-08-28
1578193520 Quankela Tillman Nurse Practitioner 2604 Lindell Ave, Tampa, FL 33610-7757 2020-01-17
1891272076 Jehad Saleh Nurse Practitioner 317 E Hanlon St, Tampa, FL 33604-4130 2018-07-20
1003332313 Gail Deanne Roth Nurse Practitioner 4604 Brownwood Ct, Tampa, FL 33624-1118 2017-08-17
1538697511 Heather Hughes Nurse Practitioner 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 2017-06-02
1215353073 Crystal Danae Van Dette Nurse Practitioner 2919w Swann Ave 102, Tampa, FL 33609-4049 2014-03-17
1912056169 Wendy Heather Hull Nurse Practitioner 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 2007-01-09
1467482380 Ags Healthcare Specialists Inc Nurse Practitioner 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 2006-07-04
1023001633 Linda K Beagle Nurse Practitioner 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 2005-08-30
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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

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.

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