JANEEN M THEOBALD ARNP
NPI 1356731194
Nurse Practitioner - Adult Health in Tampa, FL

Active since February 02, 2015
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-4673 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2018, May 17, 2016 (2 updates tracked since 2016).

About Janeen M Theobald Arnp NPPES

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

JANEEN M THEOBALD ARNP (NPI 1356731194) is an individual adult health provider in Tampa, Florida, licensed in Florida (ARNP3359822) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1356731194
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJANEEN M THEOBALDCredential: ARNP
Location Address12902 USF MAGNOLIA DRTampa, FL 33612
Mailing Address1442 Harbour Walk RdTampa, FL 33602-5971 · (321) 626-2111
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
Last NPPES UpdateMay 18, 20182 updates tracked since enumeration
NPI 1356731194 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 · ARNP3359822
12902 USF MAGNOLIA DR, Tampa, FL 33612

Other Identifiers 3

Medicaid014258500FL
OtherY0R2XFL · Bcbs
OtherP01655871FL · Railroad Mcr

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.

Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pharmacist (Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology (Pain Medicine)
12902 USF MAGNOLIA DR, WCB, 2ND FLOOR/ANESTHESIA
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MCB-ANES
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Anesthesiology
12902 USF MAGNOLIA DR, MDC 44
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356731194, enumerated as an "individual" on February 02, 2015.

The provider is located at 12902 USF MAGNOLIA DR TAMPA, FL 33612 and the phone number is (813) 745-4673.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.