Individual provider Active NPI

Robertha Charles Compere, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1346967460
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11022326 Issued in FL
Practice address
4555 S Manhattan Ave
Tampa, FL 33611-2305
Phone
(813) 839-6341
NPI assigned
Oct 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11022326 FL Primary

Addresses

Primary practice location

4555 S Manhattan Ave
Tampa, FL 33611-2305

Mailing address

9704 White Barn Way
Riverview, FL 33569-5598
Phone (813) 597-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207003014 FL Practitioner - Nurse Practitioner 9739551391 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Psychiatry PLLC CurrentSince Jan 5, 2023 Accepting new patients
Ashit K Vijapura MD PA CurrentSince Mar 14, 2023 Accepting new patients

Locations

802 W Dr Martin Luther King Jr Blvd
Ste D
Plant City, FL 33563
Phone (813) 707-9101

2931 1st Ave S
St Petersburg, FL 33712
Phone (727) 344-9933

1515 22nd Ave N
St Petersburg, FL 33704
Phone (727) 322-4227

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1346967460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9704 WHITE BARN WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695598",
            "telephone_number": "813-597-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112305",
            "telephone_number": "813-839-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES COMPERE",
        "first_name": "ROBERTHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11022326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.