DR. TISHA L SPENCE M.D.
NPI 1427348440
Pediatrics - Pediatric Critical Care Medicine in St Petersburg, FL

Q: What is Tisha Spence's NPI number?

The NPI number for Tisha Spence is 1427348440. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Tisha Spence's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Tisha Spence was last updated on April 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2011PECOS Enrolled

501 6TH AVE S, ST PETERSBURG, FL 33701(708) 327-9137 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2021, Aug 8, 2019, Jun 13, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Tisha L Spence M.d. NPPES

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

DR. TISHA L SPENCE M.D. (NPI 1427348440) is an individual pediatric critical care medicine provider in St Petersburg, Florida, licensed in Florida (148927) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1427348440

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. TISHA L SPENCECredential: M.D.

Location Address501 6TH AVE SSt Petersburg, FL 33701-4634

Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634

Phone(708) 327-9137

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 11, 2011

Last NPPES UpdateApril 10, 20214 updates tracked since enumeration

NPPES CertifiedApril 10, 2021

✔ NPI 1427348440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in FL · 148927✔ Licensed in IL · 036.147774

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

501 6TH AVE S, St Petersburg, FL 33701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tisha L Spence M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517226640

PECOS Enrollment IDI20250830000195

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.