Individual provider Active NPI

Marisa Hampshire, CNA

  • Home Health Agency
  • Palm Harbor, FL
National Provider Identifier
1093177842
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
266958 Issued in FL
Practice address
4374 Ridgemoor Dr
Palm Harbor, FL 34685-1165
Phone
(727) 307-0345
Fax
(727) 674-2932
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 266958 FL Primary

Addresses

Primary practice location

4374 Ridgemoor Dr
Palm Harbor, FL 34685-1165

Mailing address

PO Box 16011
Clearwater, FL 33766-6011
Phone (727) 307-0345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
266958FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Angels of Pinellas Home Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1093177842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16011",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337666011",
            "telephone_number": "727-307-0345",
            "fax_number": "727-674-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 RIDGEMOOR DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851165",
            "telephone_number": "727-307-0345",
            "fax_number": "727-674-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPSHIRE",
        "first_name": "MARISA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "266958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.