Active NPI
Allen Windell Everett Sr., APD PROVIDER
- Child Intellectual and/or Developmental Disabilities Respite Care
- Tampa, FL
National Provider Identifier
1467137158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 6239 Ashbury Palms Dr
Tampa, FL 33647-5113 - Phone
- (813) 489-4580
- Fax
- (813) 489-4580
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | FL | Primary |
Addresses
Primary practice location
6239 Ashbury Palms Dr
Tampa, FL 33647-5113
Mailing address
6239 Ashbury Palms Dr
Tampa, FL 33647-5113
Phone (813) 489-4580
Other names 1
- Mrs. Juliet A Everett
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1467137158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6239 ASHBURY PALMS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475113",
"telephone_number": "813-489-4580",
"fax_number": "813-489-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6239 ASHBURY PALMS DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475113",
"telephone_number": "813-489-4580",
"fax_number": "813-489-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "ALLEN",
"middle_name": "WINDELL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "APD PROVIDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIET",
"last_name": "EVERETT",
"middle_name": "A",
"prefix": "MRS.",
"credential": "CALMINGHEALTH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.