Individual provider Active NPI

Janet A Loo, ARNP

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1508117391
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9346876 Issued in FL
Practice address
2191 9TH Ave N
Ste 110
St Petersburg, FL 33713-7146
Phone
(727) 820-7778
Fax
(727) 820-7779
NPI assigned
Sep 20, 2012
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9346876 FL Primary

Addresses

Primary practice location

2191 9TH Ave N
Ste 110
St Petersburg, FL 33713-7146

Mailing address

2191 9TH Ave N
Ste 110
St Petersburg, FL 33713-7146
Phone (727) 820-7778

Other identifiers 1

IdentifierTypeStateIssuer
GO043YOtherFLWELLMED PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9346876FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1508117391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "STE 110",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "STE 110",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "JANET",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9346876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "GO043Y",
            "state": "FL"
        }
    ],
    "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 Mar 24, 2016; 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.