Active NPI
Pamela Perenich, ARNP
- Family Nurse Practitioner
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11002980
- Practice address
- 1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950 - Phone
- (727) 943-3405
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Family Nurse Practitioner | 363LF0000X | APRN11002980 | FL | Primary |
Addresses
Primary practice location
1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950
Mailing address
1501 S Pinellas Ave Ste G
Tarpon Springs, FL 34689-1950
Phone (727) 943-3405
Other practice location 1
10835 Avento Pl Apt 303
Trinity, FL 34655-5282
Phone (786) 503-3389
Other practice location 2
2919 W Swann Ave Ste 106
Tampa, FL 33609-4049
Phone (813) 930-2829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Plus LLC | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Nurse Practitioner | Current | Accepting new patients |
| West Central Gastroenterology LLP | Current | Accepting new patients | |
| Tampa Oncology and Proton LLC | Current | Accepting new patients | |
| Gastro Florida Pharmacy, LLC | Past | Accepting new patients |
Locations
7284 Broad St
Brooksville, FL 34601
Phone (352) 631-5560
3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371
6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994
2919 W Swann Ave
Ste 106
Tampa, FL 33609
Phone (813) 871-5747
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
1501 S Pinellas Ave
Ste G
Tarpon Springs, FL 34689
Phone (727) 939-1737
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Interoperability endpoints
- pperenich2945912@adventhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Nurse Practitioner
-
- Radiation Oncology Physician
- Tampa, FL
- NPI 1427674613
-
- Urgent Care Clinic/Center
- Brooksville, FL
- NPI 1376069948
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
-
- Pharmacy
- Clearwater, FL
- NPI 1285272815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1043879661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S PINELLAS AVE STE G",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346891950",
"telephone_number": "727-943-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S PINELLAS AVE STE G",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346891950",
"telephone_number": "727-943-3405"
}
],
"practiceLocations": [
{
"address_1": "10835 Avento Pl Apt 303",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346555282",
"country_code": "US",
"telephone_number": "786-503-3389",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2919 W Swann Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336094049",
"country_code": "US",
"telephone_number": "813-930-2829",
"fax_number": "813-930-9522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERENICH",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11002980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
- Joseph Pawlik, PT
- Taylor Shea Paxton, CAP
- PCM Health Care of Pinellas County Inc
- Peninsula Care and Rehabilitation Center by Harborview LLC
- Peninsula Rehabilitation and Nursing Center LLC
- Keiry Perez
- Sandra Peterson, RN, LMT
- Brian Allister Phillpotts, M.D.
- Julian Thomas Pierce, M.D.
- Olivia Amanda Pierog, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.