JILL MASSENGALE A.R.N.P
NPI 1093814964
Nurse Practitioner - Adult Health in Tampa, FL

Active since September 21, 2006
11663 COUNTRYWAY BLVD, TAMPA, FL 33626(813) 891-6310(813) 891-6889 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill Massengale A.r.n.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL MASSENGALE A.R.N.P (NPI 1093814964) is an individual adult health provider in Tampa, Florida, licensed in Florida (ARNP9184657) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1093814964
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJILL MASSENGALECredential: A.R.N.P
Location Address11663 COUNTRYWAY BLVDTampa, FL 33626-2739
Mailing Address13000 Bruce B Downs Blvd, (117)Tampa, FL 33612-4745 · (813) 972-2000 · Fax (813) 903-4876
Fax(813) 891-6889
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 26, 2009
NPI 1093814964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · ARNP9184657
11663 COUNTRYWAY BLVD, Tampa, FL 33626

Other Identifiers 2

Other1093814964FL · Npi
OtherARNP9184657FL · State Linence

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
11663 COUNTRYWAY BLVD
TAMPA, FL 33626
Family Medicine
11663 COUNTRYWAY BLVD
TAMPA, FL 33626
Family Medicine
11663 COUNTRYWAY BLVD
TAMPA, FL 33626
Counselor (Mental Health)
11663 COUNTRYWAY BLVD, PATIENTS FIRST FAMILY MEDICINE
TAMPA, FL 33626
Family Medicine
11663 COUNTRYWAY BLVD
TAMPA, FL 33626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Massengale's NPI number?

The NPI number for Jill Massengale is 1093814964. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Jill Massengale located?

Jill Massengale practices at 11663 Countryway Blvd, Tampa, FL 33626. The listed phone number is (813) 891-6310.

What is Jill Massengale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jill Massengale was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.