ST.PETE NURSE PRACTITIONER, LLC
NPI 1720724297
Clinic/Center - Primary Care in Saint Petersburg, FL
About St.pete Nurse Practitioner, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST.PETE NURSE PRACTITIONER, LLC (NPI 1720724297) is a healthcare organization registered as a primary care in Saint Petersburg, Florida and active in the NPI registry since May 2022. The organization lists Jessica Caraballo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 10D2263743
St Pete Nurse Practitioner, LLC · Saint Petersburg, FLFrequently 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.Pete Nurse Practitioner, LLC's NPI number?
The NPI number for St.Pete Nurse Practitioner, LLC is 1720724297. It was assigned to this organization in the NPPES registry on May 9, 2022.
Where is St.Pete Nurse Practitioner, LLC located?
St.Pete Nurse Practitioner, LLC is located at 33 4th St N Ste 202, Saint Petersburg, FL 33701. The listed phone number is (727) 686-8284.
What is St.Pete Nurse Practitioner, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for St.Pete Nurse Practitioner, LLC was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# St.pete Nurse Practitioner, Llc · NPI 1720724297
Primary Care organization in Saint Petersburg, Florida. Organization record, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1720724297 (Entity type: Organization)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jessica Caraballo, PRESIDENT
## Practice location
- **Address:** 33 4TH ST N STE 202, Saint Petersburg, FL 33701-3806
- **Phone:** (727) 686-8284
## Record status
- **NPPES last updated:** May 9, 2022
- **Other identifiers:** Medicaid 1437649100 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720724297) · Data from the CMS NPPES public registry.