Individual provider Active NPI

Christopher Dziopala

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1386030344
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9296049 Issued in FL
Practice address
701 6TH St S Ste 741
St Petersburg, FL 33701-4814
Phone
(727) 824-8181
Fax
(727) 209-5619
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9296049 FL Primary

Addresses

Primary practice location

701 6TH St S Ste 741
St Petersburg, FL 33701-4814

Mailing address

14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181

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
I20151103003196 FL Practitioner - Nurse Practitioner 5395055321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 6TH St S
Saint Petersburg, FL 33701-4814
Phone (727) 824-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9296049FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Pinellas Inc. CurrentSince May 27, 2018 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince May 27, 2018 Accepting new patients
Community Health Center of Pinellas Inc Current Accepting new patients

Locations

707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963

14100 58th St N
Clearwater, FL 33760

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

701 6th St S
Ste 741
St Petersburg, FL 33701

4950 34th St N
St Petersburg, FL 33714

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705

247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828

Organizations & group practices 3

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1386030344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 58TH ST N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337609900",
            "telephone_number": "727-824-8181",
            "fax_number": "727-824-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S STE 741",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-824-8181",
            "fax_number": "727-209-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIOPALA",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9296049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.