1. Home
  2. Directory
  3. Florida
  4. St Petersburg
  5. Nurse Practitioner
  6. NPI Profile

SUNNYSIDE WELLNESS
NPI 1063286813
Nurse Practitioner - Psychiatric/Mental Health in St Petersburg, FL

Active since November 13, 2023
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(813) 508-8187 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunnyside Wellness NPPES

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

SUNNYSIDE WELLNESS (NPI 1063286813) is a healthcare organization registered as a psychiatric/mental health in St Petersburg, Florida and active in the NPI registry since November 2023. The organization lists Courtney Tibbetts, Owner, as its authorized official.

NPPES Registry Identity

NPI1063286813
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUNNYSIDE WELLNESS
Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399
Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (813) 508-8187
Phone(813) 508-8187
Organization SubpartNo
Authorized OfficialCourtney TibbettsOwner · (813) 298-9305
Enumeration DateNovember 13, 2023
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1063286813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
7901 4TH ST N STE 300, St Petersburg, FL 33702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ELIZABETH RYCZEK LMHC
Counselor (Mental Health)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (727) 697-7906
FLORIDA ADVOCACY GROUP, LLC
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (813) 576-9914
FRANCIA PIERRE LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (813) 344-5868
MELISSA DAVIDSON
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (786) 246-2732
MELEAH JACQUELINE SMITH LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (727) 205-3489
VALERIE HOMIDAS LCSW
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (407) 605-0720
RONALDYS PAEZ APRN
Nurse Practitioner (Psychiatric/Mental Health)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702
Pinellas County (305) 615-5145
EMOPTI PN PROFESSIONAL ASSOCIATION
Preventive Medicine (Public Health & General Preventive Medicine)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Pinellas County (217) 737-3508

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 Sunnyside Wellness's NPI number?

The NPI number for Sunnyside Wellness is 1063286813. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Sunnyside Wellness located?

Sunnyside Wellness is located at 7901 4th St N Ste 300, St Petersburg, FL 33702. The listed phone number is (813) 508-8187.

What is Sunnyside Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sunnyside Wellness was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.