NPIMap

Organization Active NPI

DTSP Primary Care

  • Primary Care Clinic/Center
  • Saint Petersburg, FL
National Provider Identifier
1497487045
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DTSP PRIMARY CARE
Practice address
175 2ND St S Apt 1001
Saint Petersburg, FL 33701-4319
Phone
(727) 210-5823
Fax
(817) 612-3416
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Jennifer Mary Senior, DNPNPI 1437235405
Title
Nurse Practitioner
Phone
(727) 210-5623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

175 2ND St S Apt 1001
Saint Petersburg, FL 33701-4319

Mailing address

175 2ND St S Apt 1001
Saint Petersburg, FL 33701-4319
Phone (727) 210-5823

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1497487045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 2ND ST S APT 1001",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014319",
            "telephone_number": "727-210-5823",
            "fax_number": "817-612-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 2ND ST S APT 1001",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014319",
            "telephone_number": "727-210-5823",
            "fax_number": "817-612-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTSP PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "SENIOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "727-210-5623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.