Active NPI
Rhonda Manning Obrien, ADVANCED REG NURSE P
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1437111671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2024552
- Practice address
- 205 Dr MLK St N
St Petersburg, FL 33701 - Phone
- (727) 824-6927
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2024552 | FL | Primary |
Addresses
Primary practice location
205 Dr MLK St N
St Petersburg, FL 33701
Mailing address
3919 Harrisburg St NE
St Petersburg, FL 33703
Phone (813) 928-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303161600 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024552 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437111671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 HARRISBURG ST NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33703",
"telephone_number": "813-928-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DR MLK ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33701",
"telephone_number": "727-824-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "RHONDA",
"middle_name": "MANNING",
"credential": "ADVANCED REG NURSE P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "2024552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303161600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- OB/GYN Associates
- Jenisa Oberbeck, D.O.
- Drew Thomas Obermeier, PA-C
- Chiamaka C Obinka, NP
- John J Obrien Jr., MD
- Stephen P Obrochta, D.D.S.
- Maria Sasha Ocampo, REGISTERED DIETIITAN
- Nicolle Ocasio Abrams, MD
- Occupational Health Centers of the Southwest, P.a. (FL)
- Occupational Health Centers of the Southwest, P.a. (FL)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.