Individual provider Active NPI

Jamie Miskell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1407204886
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN110011353 Issued in FL
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(843) 474-5578
Fax
(843) 790-1871
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 251488 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202108853NP-NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN277007 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002997-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024173666 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402880-01 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013857 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN110011353 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (843) 474-5578

Other practice location 1

8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (843) 474-5578

Other practice location 2

5305 River Rd N Ste B
Keizer, OR 97303-5324
Phone (843) 474-5578

Other practice location 3

2309 Noriega St Ste 888
San Francisco, CA 94122-4239
Phone (843) 474-5578

Other practice location 4

1942 Broadway Ste 414C
Boulder, CO 80302-5213
Phone (843) 474-5578

Other names 1

  • Jamie Tobelmann Former name

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
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
251488AZMDPsychiatric/Mental Health Nurse Practitioner
95013857CAMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0002997-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
APRN110011353FLMDPsychiatric/Mental Health Nurse Practitioner
F402880-01NYMDPsychiatric/Mental Health Nurse Practitioner
202108853NP-NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carative Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients
Carative Psychiatry Nursing Corporation Psychiatric/Mental Health PastSince Apr 24, 2024 Accepting new patients

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1407204886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8825 N 23rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214148",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5305 River Rd N Ste B",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973035324",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2309 Noriega St Ste 888",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941224239",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 Broadway Ste 414C",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025213",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISKELL",
        "first_name": "JAMIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "251488",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202108853NP-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN277007",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002997-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024173666",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402880-01",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013857",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN110011353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "TOBELMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 28, 2022; 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.