VA Im, ARNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9230763 Issued in FL

Practice address

3491 34TH St S
Saint Petersburg,, FL 33711

Phone

(727) 436-4508

NPI assigned

Mar 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care FL JV PLLCGroup PAC ID 5698206167, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: va.im@direct.mybaycare.org

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.

• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1003643214
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1356178578
  NPD
• Centerwell Senior Primary Care FL JV PLLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1003646308
  NPD (past)
• John P McDonough III

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)
• SC Physicians LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
  • NPI 1346549292
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1396010229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 10TH ST N STE 1E",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-824-3120",
            "fax_number": "727-824-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 34TH ST S",
            "city": "SAINT PETERSBURG,",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-436-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 10th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051407",
            "country_code": "US",
            "telephone_number": "727-824-3120",
            "fax_number": "727-824-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IM",
        "first_name": "VA",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9230763",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9230763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016891600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "va.im.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "va.im.1@29601.direct.athenahealth.com",
            "address_1": "3491 34th St S",
            "city": "Saint Petersburg,",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Igar, CSCS, LMT, RYT
• Adetoluwa Emmanuel Ijidakinro, MD
• Ramona Nicoleta Ilie, MD
• Michael James Iliff, ARNP
• Stacey Elizabeth Illikal, OD
• Imagine Life, LLC
• Imagine You New
• Camille Christelle Imbo Nloga
• Christian Imensek, MD
• Imperial Livng Inc

• Nurse Practitioner in Saint Petersburg,, FL
• Providers in Saint Petersburg,, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.