NP Direct Telehealth LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

NP DIRECT TELEHEALTH LLC

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(813) 358-6231

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peta Jollian Watkins, APRNNPI 1134790843

Title

Advanced Practice Registered Nurse

Phone

(813) 358-6231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peta Jollian Watkins, NP

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1134790843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1114756723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-358-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP DIRECT TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "PETA",
        "authorized_official_middle_name": "JOLLIAN",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "813-358-6231",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Novak
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• Mark A Nowacki, MD
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• NP Pharmacy LLC (Danang Pharmacy)
• NSS-Alf St Petersburg
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• Primary Care Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.