Active NPI
Here We Grow Pediatrics, P.a.
- Pediatrics Physician
- St Petersburg, FL
National Provider Identifier
1366431280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME43809
- Legal business name
- HERE WE GROW PEDIATRICS, P.A.
- Practice address
- 6675 38TH Ave N
Suite 101
St Petersburg, FL 33710-1594 - Phone
- (727) 384-1217
- Fax
- (727) 384-3240
- NPI assigned
- Oct 14, 2005
- 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
- Dr. Elinor Miranda, MD
- Title
- Owner
- Phone
- (727) 384-1217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME43809 | FL | Primary |
Addresses
Primary practice location
6675 38TH Ave N
Suite 101
St Petersburg, FL 33710-1594
Mailing address
P.O. Box 530072
St Petersburg, FL 33710-5300
Phone (727) 384-1217
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263948301 | Medicaid | FL | |
| 068656500 | Medicaid | FL | |
| 263948300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1366431280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 530072",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337105300",
"telephone_number": "727-384-1217",
"fax_number": "727-384-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 38TH AVE N",
"address_2": "SUITE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101594",
"telephone_number": "727-384-1217",
"fax_number": "727-384-3240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERE WE GROW PEDIATRICS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "ELINOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-384-1217",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME43809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263948301",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068656500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263948300",
"state": "FL"
}
],
"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 Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.