SEASIDE WELLNESS PRIMARY CARE PLLC
NPI 1023864121
Nurse Practitioner - Gerontology in Largo, FL

Active since April 29, 2024
7531 ULMERTON RD, LARGO, FL 33771(727) 270-5047(727) 877-3735 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Apr 29, 2024 (2 updates tracked since 2024).

  • Organization
  • Nurse Practitioner
  • Gerontology

About SEASIDE WELLNESS PRIMARY CARE PLLC

This page provides the complete NPI Profile along with additional information for Seaside Wellness Primary Care Pllc, a provider established in Largo, Florida operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1023864121 assigned on April 2024. The practitioner's primary taxonomy code is 363LG0600X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Krista B Shenkman (Owner)

NPI
1023864121 Verify this NPI
Provider Name
SEASIDE WELLNESS PRIMARY CARE PLLC
Entity Type
Organization
Location Address
7531 ULMERTON RD LARGO, FL 33771
Location Phone
(727) 270-5047
Location Fax
(727) 877-3735
Mailing Address
7531 ULMERTON RD LARGO, FL 33771
Mailing Phone
(727) 270-5047
Mailing Fax
(727) 877-3735
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2024
Last Update Date
04-29-2026
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A nurse practitioner (NP) like Seaside Wellness Primary Care Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTA B SHENKMAN

Authorized Official Title
OWNER
Authorized Official Phone
(727) 270-5047

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Gerontology)
7531 ULMERTON RD
LARGO, FL 33771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023864121, enumerated as an "organization" on April 29, 2024.

The provider is located at 7531 ULMERTON RD LARGO, FL 33771 and the phone number is (727) 270-5047.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.