Individual provider Active NPI

Chelsea Pryor

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1467157453
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023943 Issued in FL
Practice address
256 3Rd St N
St Petersburg, FL 33701-3819
Phone
(727) 329-6055
NPI assigned
Mar 31, 2023
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11023943 FL Primary

Addresses

Primary practice location

256 3Rd St N
St Petersburg, FL 33701-3819

Mailing address

2626 3Rd Ave N
St Petersburg, FL 33713-7804
Phone (352) 536-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230920003086 FL Practitioner - Nurse Practitioner 4183078413 Reassigns benefits to 1 organization
I20260511000618 CT Practitioner - Nurse Practitioner 4183078413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Drlullaby, LLCGroup PAC ID 9931507290, 7 clinicians

Practice addresses (Care Compare)

113 Mill Plain Rd
Suite 1030
Danbury, CT 06811-5277
Phone (844) 475-3379

9701 NE 2ND Ave
Suite 1208
Miami Shores, FL 33138-2310
Phone (844) 475-3379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11023943FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drlullaby LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

113 Mill Plain Rd
#1030
Danbury, CT 06811

9701 NE 2nd Ave
Miami Shores, FL 33138
Phone (645) 201-9707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1467157453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137804",
            "telephone_number": "352-536-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 3RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013819",
            "telephone_number": "727-329-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.