Individual provider Active NPI

Linh My Duong

  • Gerontology Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1093315285
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11009816 Issued in FL
Practice address
5160 68TH Way N
St Petersburg, FL 33709-2842
Phone
(727) 554-3600
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11009816 FL Primary

Addresses

Primary practice location

5160 68TH Way N
St Petersburg, FL 33709-2842

Mailing address

6184 49TH Ave N
Kenneth City, FL 33709-3306

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309000371 FL Practitioner - Nurse Practitioner 8325454838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Healing Center LLCGroup PAC ID 9537295134, 3 clinicians

Practice addresses (Care Compare)

1749 S Kings Ave
Brandon, FL 33511-6220
Phone (813) 333-2819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Rheumatology Associates LLC CurrentSince Jan 1, 2021 Accepting new patients
Pain Healing Center LLC CurrentSince Nov 1, 2021 Accepting new patients
Michelle Spuza Milord MD PA PastSince Jan 1, 2021 Accepting new patients

Locations

1749 S Kings Ave
Brandon, FL 33511
Phone (813) 333-1819

5100 Seminole Blvd
St Petersburg, FL 33708
Phone (727) 319-4535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDBABD

Organizations & group practices 3

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1093315285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6184 49TH AVE N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337093306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 68TH WAY N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092842",
            "telephone_number": "727-554-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "LINH",
        "middle_name": "MY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11009816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.