Provider Demographics
NPI:1699945899
Name:HIGHT, RITA FAYE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:FAYE
Last Name:HIGHT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17200 COMMERCE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2600
Mailing Address - Country:US
Mailing Address - Phone:813-615-6394
Mailing Address - Fax:
Practice Address - Street 1:17200 COMMERCE PARK BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2600
Practice Address - Country:US
Practice Address - Phone:813-615-6394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14108363LF0000X
KY3005517363LF0000X
FLARNP9414659363LF0000X
NVAPRN001896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ005100Medicaid
TNQ005100Medicaid