Active NPI
Bankwell Residential Community LLC
- Clinical Medical Laboratory
- St Petersburg, FL
National Provider Identifier
1285502963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Crystal M Wells, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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 DirectoryPractitioners & 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.