MS. TAMMY LEE DERITO LPN
NPI 1194938084
Licensed Practical Nurse in Gainesville, FL

Active since May 07, 2007
1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 374-6047 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tammy Lee Derito Lpn NPPES

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

MS. TAMMY LEE DERITO LPN (NPI 1194938084) is an individual licensed practical nurse in Gainesville, Florida, licensed in West Virginia (23965) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194938084
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. TAMMY LEE DERITOCredential: LPN
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address2449 Brook Park WayJacksonville, FL 32246-9334 · (904) 551-2373
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1194938084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WV · 23965
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1601 SW ARCHER RD, Gainesville, FL 32608

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Internal Medicine (Gastroenterology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608
Psychologist (Clinical)
1601 SW ARCHER RD, MALCOM RANDALL VAMC ;NF/SG VETERANS HEALTH SYSTEM
GAINESVILLE, FL 32608

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 Tammy Derito's NPI number?

The NPI number for Tammy Derito is 1194938084. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Tammy Derito located?

Tammy Derito practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 374-6047.

What is Tammy Derito's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tammy Derito was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.