Individual provider Active NPI

Cameron L Priesmeyer, ARNP-C

  • Primary Care Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1194994889
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP1346292 Issued in FL
Practice address
1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348
Phone
(727) 894-1661
Fax
(727) 894-1430
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP1346292 FL Primary

Addresses

Primary practice location

1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348

Mailing address

1111 7TH Ave N
Ste 107
St Petersburg, FL 33705-1348
Phone (727) 894-1661

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1346292FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Tampa Medical Group PA Past Accepting new patients

Organizations & group practices 1

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1194994889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N",
            "address_2": "STE 107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-894-1661",
            "fax_number": "727-894-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 7TH AVE N",
            "address_2": "STE 107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051348",
            "telephone_number": "727-894-1661",
            "fax_number": "727-894-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESMEYER",
        "first_name": "CAMERON",
        "middle_name": "L",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP1346292",
            "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 Feb 27, 2008; 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.