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MARIAH TIENNA PREVATTE APRN
NPI 1750120705
Pediatrics - Pediatric Critical Care Medicine in Lakeland, FL

Active since May 20, 2024
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariah Tienna Prevatte Aprn NPPES

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

MARIAH TIENNA PREVATTE APRN (NPI 1750120705) is an individual pediatric critical care medicine provider in Lakeland, Florida, licensed in Florida (APRN11035770) and active in the NPI registry since May 2024. She maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1750120705
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMARIAH TIENNA PREVATTECredential: APRN
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address1850 Saddlewood PlBartow, FL 33830-2917 · (863) 253-9839
Phone(863) 687-1100
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateFebruary 9, 2025
NPPES CertifiedFebruary 9, 2025
✔ NPI 1750120705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in FL · APRN11035770
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.
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN9423564 (FL)
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Secondary Practice Location 1

Location 16535 Nemours PkwyOrlando, FL 32827-7884 · Phone (407) 650-7715

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.

CHRISTIAN ABREU-RAMIREZ MD
Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JARED MCLAUGHLIN
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JEFF RIGBY DO
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
ANDREA BEALE A.R.N.P.
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-5020
MR. TAMI LYNN HOWER ARNP
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1321
DR. ADALBERTO ALFONSO MD
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1359
DR. BISHOY KOLTA M.D.
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1275
MICALEIGH NOLL PHARMD
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100

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 Mariah Prevatte's NPI number?

The NPI number for Mariah Prevatte is 1750120705. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Mariah Prevatte located?

Mariah Prevatte practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1100.

What is Mariah Prevatte's specialty?

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

When was this NPI record last updated?

The NPPES record for Mariah Prevatte was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.