Individual provider Active NPI

Jessica Tonkin

  • Primary Care Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1487127379
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11000780 Issued in FL
Practice address
12450 Roosevelt Blvd N
St Petersburg, FL 33716-1902
Phone
(727) 571-1688
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11000780 FL Primary

Addresses

Primary practice location

12450 Roosevelt Blvd N
St Petersburg, FL 33716-1902

Mailing address

8454 Dunham Station Dr
Tampa, FL 33647-3321
Phone (727) 417-8019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190220001196 FL Practitioner - Nurse Practitioner 3870831688

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1033 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33701-1547

12450 Roosevelt Blvd
Suite 101
Saint Petersburg, FL 33716-1902

2 Market Plaza Way
3 Zetter Healthcare LLC
Mechanicsburg, PA 17055-5679

9044 Cypress TRL
Largo, FL 33777-1152

9780 N 56TH St
Suite D
Temple Terrace, FL 33617-5508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Family Wellness LLC CurrentSince Mar 21, 2022 Accepting new patients
Moss Restorative Foot & Ankle Center, PLLC PastSince May 24, 2019 Accepting new patients
SC Physicians LLC PastSince Jan 7, 2019 Accepting new patients

Locations

7855 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 302-9500

Interoperability endpoints

  • Direct secure messaging: jessica.tonkin@610837535391748.direct.elationemr.com

Organizations & group practices 3

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1487127379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8454 DUNHAM STATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473321",
            "telephone_number": "727-417-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 ROOSEVELT BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161902",
            "telephone_number": "727-571-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONKIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11000780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.