Active NPI
Jarryd D Lunger, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Saint Petersburg, FL
National Provider Identifier
1407260565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9382656
- Practice address
- 2837 1St Ave N
Saint Petersburg, FL 33713-8603 - Phone
- (727) 334-1546
- Fax
- (727) 608-2974
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9382656 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP3773 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9382656 | FL | Primary |
Addresses
Primary practice location
2837 1St Ave N
Saint Petersburg, FL 33713-8603
Mailing address
2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012808400 | Medicaid | FL |
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7337 | MN | MD | Physical Therapist |
| CNP3773 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winding Arbors Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Past | Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Petersburg, FL
- NPI 1730757303
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1407260565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 1ST AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337138603",
"telephone_number": "727-334-1546",
"fax_number": "727-608-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNGER",
"first_name": "JARRYD",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9382656",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "CNP3773",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9382656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012808400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.