Active NPI
Mary Kathryn Parham, FNP, PMHNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9214558
- Practice address
- 9800 4TH St N Ste 200
Saint Petersburg, FL 33702-2462 - Phone
- (727) 266-8895
- Fax
- (833) 563-0460
- NPI assigned
- Mar 14, 2007
- Last updated
- Nov 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9214558 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP8361 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9214558 | FL | Primary |
Addresses
Primary practice location
9800 4TH St N Ste 200
Saint Petersburg, FL 33702-2462
Mailing address
9800 4TH St N Ste 200
St Petersburg, FL 33702-2462
Phone (727) 266-8895
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9214558 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Health Care Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Kreider Chiropractic Inc | Past | Accepting new patients | |
| Aldrich Cardiovascular Institute | Past | Accepting new patients | |
| Take Care Health Services PA | Family | Past | Accepting new patients |
Locations
2055 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 366-6611
153 Center Rd
Venice, FL 34285
Phone (941) 408-8988
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EADACD
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oasis Health Online LLC
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- St Petersburg, FL
- NPI 1811501737
-
- Psychiatry Physician
- Venice, FL
- NPI 1356355358
Psychiatric/Mental Health
-
- Cardiovascular Disease Physician
- Lakewood Ranch, FL
- NPI 1184614851
-
- Chiropractor
- Brandon, FL
- NPI 1063823359
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1689865818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1407980568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 4TH ST N STE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337022462",
"telephone_number": "727-266-8895",
"fax_number": "833-563-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 4TH ST N STE 200",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337022462",
"telephone_number": "727-266-8895",
"fax_number": "833-563-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Miss",
"credential": "FNP, PMHNP, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2022-11-05",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9214558",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP8361",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9214558",
"primary": true
}
],
"identifiers": [],
"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 Nov 5, 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.