Organization Active NPI

Hostlisticjoules, LLC

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1497627046
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOSTLISTICJOULES, LLC
Practice address
8424 4TH St N Ste a
St Petersburg, FL 33702-3654
Phone
(727) 688-0795
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Tashe Green, NP
Title
Manager
Phone
(727) 688-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8424 4TH St N Ste a
St Petersburg, FL 33702-3654

Mailing address

8424 4TH St N Ste a
St Petersburg, FL 33702-3654
Phone (727) 688-0795

National Provider Directory

National Provider Directory

Locations

8424 4th St N
Ste A
St Petersburg, FL 33702
Phone (727) 688-0795

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1497627046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 4TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023654",
            "telephone_number": "727-688-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 4TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023654",
            "telephone_number": "727-688-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSTLISTICJOULES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TASHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-688-0795",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.