Organization Active NPI

Bankwell Residential Community LLC

  • Clinical Medical Laboratory
  • St Petersburg, FL
National Provider Identifier
1285502963
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BANKWELL RESIDENTIAL COMMUNITY LLC
Practice address
800 64TH Ave S
Saint Petersburg, FL 33705-5924
Phone
(727) 906-1034
NPI assigned
Oct 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Mrs. Crystal M Wells, RNNPI 1457998874
Title
Administrator
Phone
(727) 906-1034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X
Clinical Medical Laboratory 291U00000X Primary
Assisted Living Facility 310400000X

Addresses

Primary practice location

800 64TH Ave S
Saint Petersburg, FL 33705-5924

Mailing address

800 64TH Ave S
Saint Petersburg, FL 33705-5924
Phone (727) 906-1034

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1285502963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 64TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337055924",
            "telephone_number": "727-906-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 64TH AVE S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337055924",
            "telephone_number": "727-906-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKWELL RESIDENTIAL COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-906-1034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 4, 2026; 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.