Seaside Wellness Primary Care PLLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

SEASIDE WELLNESS PRIMARY CARE PLLC

Practice address

7531 Ulmerton Rd
Largo, FL 33771-4548

Phone

(727) 270-5047

Fax

(727) 877-3735

NPI assigned

Apr 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krista B ShenkmanNPI 1346902335

Title

Owner

Phone

(727) 270-5047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krista Shenkman, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Largo, FL
  • NPI 1346902335
  Medicare reassignment NPD Authorized official
• Carl Tyler Shenkman, M.D., J.D., LLM

  • Neurology Physician
  • Clearwater, FL
  • NPI 1083664874
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1023864121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714548",
            "telephone_number": "727-270-5047",
            "fax_number": "727-877-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714548",
            "telephone_number": "727-270-5047",
            "fax_number": "727-877-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE WELLNESS PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-270-5047"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Scott
• Qiana Scott
• Victoria Scott
• Stephanie Adele Scudiero, NP
• Bryan Scuteri, M.D.
• Adeena Marie Sedlak-Horne, LMHC
• Jamie Seefelt
• Marianne Segal, LMT
• Angela Maria Segovia, MS, OTR/L
• Frank Seidl, M.D.

• Gerontology Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.