Spreading Your Wings LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPREADING YOUR WINGS LLC

Practice address

3980 Tampa Rd Ste 202
Oldsmar, FL 34677-3223

Phone

(727) 477-0864

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Kamryn Michelle Russell, LCSWNPI 1598449498

Title

Owner

Phone

(727) 477-0864

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kamryn M Russell, LCSW

  • Clinical Social Worker
  • Oldsmar, FL
  • NPI 1598449498
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1073377156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 TAMPA RD STE 202",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773223",
            "telephone_number": "727-477-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 TAMPA RD STE 202",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773223",
            "telephone_number": "727-477-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPREADING YOUR WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KAMRYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-477-0864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.