NP Extender Service LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1740872 Issued in FL

Legal business name

NP EXTENDER SERVICE LLC

Practice address

200 2ND Ave S
# 340
St Petersburg, FL 33701-4313

Phone

(727) 465-8515

Fax

(727) 867-2119

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

M Sandra Davanzo MBR, ARNP

Title

President

Phone

(727) 465-8515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467676437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S",
            "address_2": "# 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "727-465-8515",
            "fax_number": "727-867-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S",
            "address_2": "# 340",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "727-465-8515",
            "fax_number": "727-867-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP EXTENDER SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVANZO MBR",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-465-8515",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "1740872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivona Novakovich
• Danielle Novelle, LMT
• Now We'Re Talking, Inc
• Mark A Nowacki, MD
• NP Direct Telehealth LLC
• NP Pharmacy LLC (Danang Pharmacy)
• NSS-Alf St Petersburg
• NTCF LLC (Neuropathy Treatment Center)
• Nu Day Therapy, LLC
• Nucourage Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.