Individual provider Active NPI

Gloria Shafaye Antwi

  • Home Health Agency
  • Saint Petersburg, FL
National Provider Identifier
1518829225
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
358905 Issued in FL
Practice address
3513 Kingston St N
Saint Petersburg, FL 33713-1324
Phone
(727) 815-2915
NPI assigned
Dec 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 358905 FL Primary

Addresses

Primary practice location

3513 Kingston St N
Saint Petersburg, FL 33713-1324

Mailing address

3513 Kingston St N
Saint Petersburg, FL 33713-1324
Phone (727) 815-2915

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
358905FLMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1518829225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 KINGSTON ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131324",
            "telephone_number": "727-815-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 KINGSTON ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337131324",
            "telephone_number": "727-815-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTWI",
        "first_name": "GLORIA",
        "middle_name": "SHAFAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "358905",
            "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 Dec 1, 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.