Individual provider Active NPI

Kristi L Minneti, M.D.

  • Neurology Physician
  • St. Petersburg, FL
National Provider Identifier
1376574715
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 85988 Issued in FL
Practice address
2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283
Phone
(727) 471-0324
Fax
(727) 471-0329
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME 85988 FL Primary

Addresses

Primary practice location

2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283

Mailing address

2575 Ulmerton Rd
Suite 300
St. Petersburg, FL 33762-2283
Phone (727) 471-0324

Other identifiers 2

IdentifierTypeStateIssuer
209515MedicaidFL
ME 85988OtherFLFLORIDA MEDICAL LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22469ALMDPharmacist
ME 85988FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Petersburg Neurology Clinic Neurology Past Accepting new patients

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1376574715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 ULMERTON RD",
            "address_2": "SUITE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337622283",
            "telephone_number": "727-471-0324",
            "fax_number": "727-471-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ULMERTON RD",
            "address_2": "SUITE 300",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337622283",
            "telephone_number": "727-471-0324",
            "fax_number": "727-471-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNETI",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 85988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209515",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME 85988",
            "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 May 2, 2008; 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.