Bankwell Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BANKWELL SENIOR LIVING

Practice address

3434 54TH Ave South
St Petersburg, FL 33711-4751

Phone

(727) 906-1034

NPI assigned

May 28, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Maria Banks, RN

Title

Owner/Administrator

Phone

(727) 906-1034

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Crystal Maria Wells, RN

  • Assisted Living Facility
  • St Petersburg, FL
  • NPI 1457998874
  NPD

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1447873120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 54TH AVE S APT 52",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337124751",
            "telephone_number": "727-906-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 54TH AVE SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114751",
            "telephone_number": "727-906-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKWELL SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "727-906-1034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Crystal.Banks@Bankwellseniorliving.com",
            "affiliation": "N",
            "address_1": "3434 2nd Ave S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337111308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Matthew Banks
• Elizabeth E Banks, M.D.
• Julie Holland Banks, R.N.
• Kristina Marie Banks, ARNP, FNP-C
• Bankwell Residential Community LLC
• Ashlee E Bannister, DC
• Jenny Bannister, PHD
• Victoria Banta, PA
• Banyan Pediatric Care Centers - St Petersburg
• Bap Billing Services Inc

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.