Marissa Evarts

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

OS18668 Issued in FL

Practice address

601 5TH St S Ste 701
St Petersburg, FL 33701-4804

Phone

(727) 329-5400

NPI assigned

Mar 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mevarts992292@direct.hopkinsmedicine.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Otolaryngology Head and Neck Surgeyr Assoc. PA

  • Specialist
  • St Petersburg, FL
  • NPI 1639285513
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1518329903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 DR MLK JR ST N STE 150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33702",
            "telephone_number": "727-329-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST S STE 701",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014804",
            "telephone_number": "727-329-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 N Habana Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076314",
            "country_code": "US",
            "telephone_number": "727-329-5400",
            "fax_number": "727-329-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5911 N Honore Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432610",
            "country_code": "US",
            "telephone_number": "727-329-5400",
            "fax_number": "727-329-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 City Avenue",
            "address_2": "PCOM",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311626",
            "country_code": "US",
            "telephone_number": "215-871-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14111 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563663",
            "country_code": "US",
            "telephone_number": "727-329-5400",
            "fax_number": "727-329-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10080 Balaye Run Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336197902",
            "country_code": "US",
            "telephone_number": "727-329-5400",
            "fax_number": "727-329-5401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N McMullen Booth Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337592100",
            "country_code": "US",
            "telephone_number": "727-329-5400",
            "fax_number": "727-329-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVARTS",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-08-12",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "OS18668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Evans
• Kamya Ladeja Evans
• Marivilla Evans, LD
• Nicole Evans, RDMS, RVT
• Sara Evans
• Kristine Marie Evavold, NURSE PRACTITIONER
• Evening Pediatrics Inc (Your Kids Urgent Care)
• Evening Pediatrics, Inc (Your Kids Urgent Care)
• Perry Boyd Everett, M.D.
• Carlisa D Everhart

• Pediatric Otolaryngology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.