Individual provider Active NPI

Angela J.S. Carley, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1437896172
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11020167 Issued in FL
Practice address
1811 9TH St N
St Petersburg, FL 33704-4221
Phone
(727) 525-4401
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11020167 FL Primary

Addresses

Primary practice location

1811 9TH St N
St Petersburg, FL 33704-4221

Mailing address

226 10TH Ave NE
Saint Petersburg, FL 33701-1911
Phone (727) 365-2137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000549 FL Order and Referring Only - Nurse Practitioner 6406372085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11020167FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1437896172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 10TH AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337011911",
            "telephone_number": "727-365-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044221",
            "telephone_number": "727-525-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "ANGELA",
        "middle_name": "J.S.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11020167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.