NP DIRECT TELEHEALTH LLC
NPI 1114756723
Nurse Practitioner - Primary Care in St Petersburg, FL

Active since July 31, 2024
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(813) 358-6231 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Np Direct Telehealth Llc NPPES

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

NP DIRECT TELEHEALTH LLC (NPI 1114756723) is a healthcare organization registered as a primary care in St Petersburg, Florida and active in the NPI registry since July 2024. The organization lists Peta Jollian Watkins, Advanced Practice Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1114756723
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameNP DIRECT TELEHEALTH LLC
Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399
Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399
Organization SubpartNo
Authorized OfficialPeta Jollian WatkinsAdvanced Practice Registered Nurse · (813) 358-6231
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1114756723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
7901 4TH ST N STE 300, St Petersburg, FL 33702

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Np Direct Telehealth Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Np Direct Telehealth LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1134790843
2727 W DR MARTIN LUTHER KING JR BLVD STE 100
Tampa, FL 33607
(813) 397-5300
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Np Direct Telehealth LLC's NPI number?

The NPI number for Np Direct Telehealth LLC is 1114756723. It was assigned to this organization in the NPPES registry on July 31, 2024.

Where is Np Direct Telehealth LLC located?

Np Direct Telehealth LLC is located at 7901 4th St N Ste 300, St Petersburg, FL 33702. The listed phone number is (813) 358-6231.

What is Np Direct Telehealth LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Np Direct Telehealth LLC enrolled in Medicare?

Yes. Np Direct Telehealth LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Np Direct Telehealth LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Np Direct Telehealth LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Np Direct Telehealth LLC was last updated on July 31, 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.