Active NPI
Mary Elizabeth Krupa, ARNP
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1184863482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9190534
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.