NPIMap

Organization Active NPI

CMS St Petersburg

  • Public Health or Welfare Agency
  • St Petersburgh, FL
National Provider Identifier
1235101833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CMS ST PETERSBURG
Practice address
3251 3Rd Ave N
St Petersburgh, FL 33713
Phone
(727) 893-2775
Fax
(727) 893-1101
NPI assigned
Feb 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia B Kopp
Title
Program Administrator
Phone
(813) 396-9798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X FL Primary

Addresses

Primary practice location

3251 3Rd Ave N
St Petersburgh, FL 33713

Mailing address

3251 3Rd Ave N
St Petersburgh, FL 33713
Phone (727) 893-2775

Other names 1

  • Florida Department of Health Childrens Medical Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Sunland Center Marianna15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235101833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURGH",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-893-2775",
            "fax_number": "727-893-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURGH",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-893-2775",
            "fax_number": "727-893-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS ST PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "813-396-9798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Department of Health Childrens Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburgh, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.