ST. JOHN'S PEDIATRICS, PA
NPI 1467590711
Pediatrics in Saint Augustine, FL

Active since February 01, 2007
161 HAMPTON POINT DRIVE STE 4, SAINT AUGUSTINE, FL 32092(904) 230-0624(904) 230-7947 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St. John's Pediatrics, Pa NPPES

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

ST. JOHN'S PEDIATRICS, PA (NPI 1467590711) is a healthcare organization registered as a pediatrics in Saint Augustine, Florida and active in the NPI registry since February 2007. The organization lists Leticia Rosario Abrea, President, as its authorized official.

NPPES Registry Identity

NPI1467590711
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST. JOHN'S PEDIATRICS, PA
Location Address161 HAMPTON POINT DRIVE STE 4Saint Augustine, FL 32092-3057
Mailing Address161 Hampton Point Drive Ste 4Saint Augustine, FL 32092-3057 · (904) 230-0624 · Fax (904) 230-7947
Fax(904) 230-7947
Organization SubpartNo
Authorized OfficialLeticia Rosario AbreaPresident · (904) 807-9112
Enumeration DateFebruary 1, 2007
Last NPPES UpdateApril 17, 2008
NPI 1467590711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME90096
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

161 HAMPTON POINT DRIVE STE 4, Saint Augustine, FL 32092

Other Identifiers 1

Other28637FL · Bcbs

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2075855

St Johns Pediatrics PA · Saint Augustine, FL
Expired · Apr 6, 2026
CLIA Number10D2075855
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2024
Certificate Expiration DateApril 6, 2026
Laboratory DirectorLeticia R. Abrea
Laboratory Phone(904) 230-0624
Laboratory LocationSt Johns Pediatrics PA161-4 Hampton Point Dr, Saint Augustine, FL 32092
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St. John's Pediatrics, PA's NPI number?

The NPI number for St. John's Pediatrics, PA is 1467590711. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is St. John's Pediatrics, PA located?

St. John's Pediatrics, PA is located at 161 Hampton Point Drive Ste 4, Saint Augustine, FL 32092. The listed phone number is (904) 230-0624.

What is St. John's Pediatrics, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does St. John's Pediatrics, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list St. John's Pediatrics, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. John's Pediatrics, PA was last updated on April 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.