Individual provider Active NPI

Mary Elizabeth Krupa, ARNP

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1184863482
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9190534 Issued in FL
Practice address
2560 N McMullen Booth Rd
Ste B
Clearwater, FL 33761-4182
Phone
(727) 422-3642
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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 ARNP9190534 FL Primary

Addresses

Primary practice location

2560 N McMullen Booth Rd
Ste B
Clearwater, FL 33761-4182

Mailing address

PO Box 890931
Charlotte, NC 28289-0931
Phone (904) 482-1070

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1184863482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890931",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890931",
            "telephone_number": "904-482-1070",
            "fax_number": "904-482-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 N MCMULLEN BOOTH RD",
            "address_2": "STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614182",
            "telephone_number": "727-422-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPA",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9190534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.