Organization Active NPI

Titan Vitality

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1427934751
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TITAN VITALITY
Practice address
1510 4TH St N
St Petersburg, FL 33704-4412
Phone
(727) 317-8966
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Jennifer Jonell Coleman, APRNNPI 1558530253
Title
Owner
Phone
(727) 460-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1510 4TH St N
St Petersburg, FL 33704-4412

Mailing address

1510 4TH St N
St Petersburg, FL 33704-4412
Phone (727) 317-8966

National Provider Directory

National Provider Directory

Locations

1510 4th St N
St Petersburg, FL 33704
Phone (727) 317-8966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1427934751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044412",
            "telephone_number": "727-317-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044412",
            "telephone_number": "727-317-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN VITALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JONELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-460-1159",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Apr 27, 2026; 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.