Individual provider Active NPI

Patricia M Delgado, DNP, APRN, AGPCNP-BC

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1417329517
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9311514 Issued in FL
Practice address
9079 4TH St N
St Petersburg, FL 33702-3127
Phone
(813) 738-1971
Fax
(727) 390-0044
NPI assigned
Oct 28, 2015
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9311514 FL Primary
Adult Health Nurse Practitioner 363LA2200X APRN9311514 FL
Primary Care Nurse Practitioner 363LP2300X APRN9311514 FL

Addresses

Primary practice location

9079 4TH St N
St Petersburg, FL 33702-3127

Mailing address

9079 4TH St N
St Petersburg, FL 33702-3127
Phone (813) 738-1971

Other identifiers 1

IdentifierTypeStateIssuer
106050500MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
APRN9311514FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patricia.delgado@547762716672004.direct.elationemr.com
  • Direct secure messaging: pdelgado@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1417329517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9079 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023127",
            "telephone_number": "813-738-1971",
            "fax_number": "727-390-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9079 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023127",
            "telephone_number": "813-738-1971",
            "fax_number": "727-390-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "DNP, APRN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9311514",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9311514",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9311514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106050500",
            "state": "FL"
        }
    ],
    "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 Oct 9, 2025; 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.