Individual provider Active NPI

Maria Viking, ARNP

  • Nurse Practitioner
  • St.Petersburg, FL
National Provider Identifier
1093770380
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2011732 Issued in FL
Practice address
863 - 3Rd Avenue North
St.Petersburg Free Clinic
St.Petersburg, FL 33701
Phone
(727) 327-0333
Fax
(727) 321-6412
NPI assigned
Apr 19, 2006
Last updated
Oct 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2011732 FL Primary

Addresses

Primary practice location

863 - 3Rd Avenue North
St.Petersburg Free Clinic
St.Petersburg, FL 33701

Mailing address

863 - 3Rd Avenue North
St.Petersburg Free Clinic
St.Petersburg, FL 33701
Phone (727) 327-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20150317002708 WY Order and Referring Only - Nurse Practitioner 8921037326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Friedman DO PA PastSince Jul 1, 2012 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1093770380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 - 3RD AVENUE NORTH",
            "address_2": "ST.PETERSBURG FREE CLINIC",
            "city": "ST.PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-327-0333",
            "fax_number": "727-321-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 - 3RD AVENUE NORTH",
            "address_2": "ST.PETERSBURG FREE CLINIC",
            "city": "ST.PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-327-0333",
            "fax_number": "727-321-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIKING",
        "first_name": "MARIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2011732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St.Petersburg, FL

Sources for this page

Verify at the official NPI Registry.