GULF COAST FAMILY WELLNESS LLC
NPI 1568056117
Nurse Practitioner - Family in St Petersburg, FL

Active since February 24, 2021CLIA 10D2275712 · Waiver
7855 38TH AVE N STE 200, ST PETERSBURG, FL 33710(727) 480-0387 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Mar 3, 2021, Feb 24, 2021 (3 updates tracked since 2021).

About Gulf Coast Family Wellness Llc NPPES

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

GULF COAST FAMILY WELLNESS LLC (NPI 1568056117) is a healthcare organization registered as a family in St Petersburg, Florida and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Stephanie Anderson, Owner/ Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1568056117
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGULF COAST FAMILY WELLNESS LLC
Location Address7855 38TH AVE N STE 200St Petersburg, FL 33710-1134
Mailing AddressPo Box 7843Clearwater, FL 33758-7843 · (727) 480-0387
Organization SubpartNo
Authorized OfficialStephanie AndersonOwner/ Authorized Official · (727) 480-0387
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1568056117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7855 38TH AVE N STE 200, St Petersburg, FL 33710

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

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 10D2275712

Gulf Coast Family Wellness, LLC · Saint Petersburg, FL
Active · expires Jan 25, 2027
CLIA Number10D2275712
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorJessica Tonkin
Laboratory Phone(727) 490-7729
Laboratory LocationGulf Coast Family Wellness, LLC7855 38th Ave N - Ste 200, Saint Petersburg, FL 33710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
7855 38TH AVE N STE 200
ST PETERSBURG, FL 33710
Podiatrist
7855 38TH AVE N STE 200
ST PETERSBURG, FL 33710
Podiatrist
7855 38TH AVE N STE 200
ST PETERSBURG, FL 33710

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 Gulf Coast Family Wellness LLC's NPI number?

The NPI number for Gulf Coast Family Wellness LLC is 1568056117. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Gulf Coast Family Wellness LLC located?

Gulf Coast Family Wellness LLC is located at 7855 38th Ave N Ste 200, St Petersburg, FL 33710. The listed phone number is (727) 480-0387.

What is Gulf Coast Family Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Gulf Coast Family Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2275712) is associated with this NPI, valid through January 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gulf Coast Family Wellness LLC was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.