Lavanya Gopal, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9293070 Issued in FL

Practice address

3520 38TH Ave N
St Petersburg, FL 33713

Phone

(727) 471-5039

NPI assigned

Jan 5, 2018

Last updated

May 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
• Direct secure messaging: lavanya.gopal.1@967.direct.athenahealth.com

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.

• Bowman & Hampsey Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Clearwater, FL
  • NPI 1205264355

  Single Specialty

  Medicare reassignment NPD
• Bowman & Hampsey Mdspa

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1215042858

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1497262984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131448",
            "telephone_number": "727-471-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-471-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3517 W Palmira Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336297016",
            "country_code": "US",
            "telephone_number": "352-572-5486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3251 N McMullen Booth Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612022",
            "country_code": "US",
            "telephone_number": "727-725-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "LAVANYA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9293070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Goodrum, M.D.
• Heather Melissa Goodson, PA-C
• Goodwill Industries-Suncoast, Inc.
• Karen R Goodwin, PA-C
• Michael Jon Goodwin, LDO
• Rose Gugu Gopfert, OTR/L
• Adam Garett Gorberg, M.D.
• Gordon J. Gilbert, M.D., P.a.
• Monica Gordon-Dixon
• Keisha-Ann Gordon-Primus, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.