Individual provider Active NPI

Lia Nardone, MD

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1124195797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
65583 Issued in FL
Practice address
145 5TH Ave NE
St Petersburg, FL 33701-3015
Phone
(727) 820-0505
Fax
(727) 820-9707
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 65583 FL Primary

Addresses

Primary practice location

145 5TH Ave NE
St Petersburg, FL 33701-3015

Mailing address

145 5TH Ave NE
St Petersburg, FL 33701-3015
Phone (727) 820-0505

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65583FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lia Nardone MD PA Psychiatry Past Accepting new patients
Donna K Dempsey Arnp PA Past Accepting new patients
Andrea M Scremin MD LLC Psychiatry Past Accepting new patients
Boley Centers, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124195797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDONE",
        "first_name": "LIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "65583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.