Individual provider Active NPI

Emily Earle Lenhardt, PA-C

  • Surgical Physician Assistant
  • Saint Petersburg, FL
National Provider Identifier
1245530468
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105675 Issued in FL
Practice address
2299 9TH Ave N
Suite 3B
Saint Petersburg, FL 33713-6800
Phone
(727) 321-3344
Fax
(727) 321-3236
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9105675 FL Primary

Addresses

Primary practice location

2299 9TH Ave N
Suite 3B
Saint Petersburg, FL 33713-6800

Mailing address

2299 9TH Ave N
Suite 3B
Saint Petersburg, FL 33713
Phone (727) 321-3344

Other identifiers 1

IdentifierTypeStateIssuer
1095335OtherFLCERTIFICATION

Other names 1

  • Emily Earle Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA9105675FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Petersburg Ear Nose & Throat Ctr LLC Past Accepting new patients
St Pete ENT LLC PastSince Jul 1, 2006 Accepting new patients

Organizations & group practices 2

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1245530468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N",
            "address_2": "SUITE 3B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-321-3344",
            "fax_number": "727-321-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N",
            "address_2": "SUITE 3B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136800",
            "telephone_number": "727-321-3344",
            "fax_number": "727-321-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENHARDT",
        "first_name": "EMILY",
        "middle_name": "EARLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "1095335",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "EARLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 12, 2019; 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.