Harold Gussman III, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11010795 Issued in FL

Practice address

10560 Dr Martin Luther King Jr St N
St Petersburg, FL 33716-3718

Phone

(727) 353-3550

Fax

(727) 289-2098

NPI assigned

Mar 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: harold.gussman.1@14940.direct.athenahealth.com

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.

• Hospice of the Palm Coast Inc

  dba Odyssey HealthCare

  • Community Based Hospice Care Agency
  • Daytona Beach, FL
  • NPI 1730180076
  NPD (past)
• Odyssey Healthcare of Marion County, LLC

  dba Gentiva

  • Community Based Hospice Care Agency
  • Orlando, FL
  • NPI 1528439700
  NPD (past)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1437734340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163718",
            "telephone_number": "727-353-3550",
            "fax_number": "727-289-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163718",
            "telephone_number": "727-353-3550",
            "fax_number": "727-289-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSMAN",
        "first_name": "HAROLD",
        "name_suffix": "III",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinny Gunn, M.D.
• William Michael Gunn, MSW, LSW, LCSW
• Ellie Gunter, L.M.T.
• Amitabh P Gupta, MD
• Ashwani Kumar Gupta, MD MPH
• Gary Stephen Gustin, PA-C
• Taylor Gustin, DO
• Miya R Guten, LCSW
• Logan M Guth
• Rebecca Robin Guthrie, APRN

• Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.