Organization Active NPI

Clear Path Center PA

  • Licensed Practical Nurse
  • Saint Petersburg, FL
National Provider Identifier
1164958757
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5230304 Issued in FL
Legal business name
CLEAR PATH CENTER PA
Practice address
3177 4TH St N
Saint Petersburg, FL 33704-2124
Phone
(877) 585-2955
Fax
(877) 352-4960
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Dawne Era, LCSW
Title
President
Phone
(877) 585-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X PN5230304 FL Primary

Addresses

Primary practice location

3177 4TH St N
Saint Petersburg, FL 33704-2124

Mailing address

3177 4TH St N
Saint Petersburg, FL 33704-2124
Phone (877) 585-2955

National Provider Directory

National Provider Directory

Locations

3177 4th St N
St Petersburg, FL 33704
Phone (215) 791-4562

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1164958757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3177 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042124",
            "telephone_number": "877-585-2955",
            "fax_number": "877-352-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337042124",
            "telephone_number": "877-585-2955",
            "fax_number": "877-352-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "ERA",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-585-2955",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5230304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.