Active NPI
Michelle Schreck, ARNP
- Pediatric Nurse Practitioner
- Tampa, FL
National Provider Identifier
1548445018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP2061912
- Practice address
- 3003 W MLK Blvd
3Rd Floor Medical Arts Building
Tampa, FL 33607-6307 - Phone
- (813) 870-4948
- Fax
- (813) 554-8044
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP2061912 | FL | Primary |
Addresses
Primary practice location
3003 W MLK Blvd
3Rd Floor Medical Arts Building
Tampa, FL 33607-6307
Mailing address
2901 58TH Ave N.
St. Petersburg, FL 33714-1326
Phone (727) 822-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306767000 | Medicaid | FL |
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
Interoperability endpoints
- mschreck735993@direct.hopkinsmedicine.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1548445018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 58TH AVE N.",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337141326",
"telephone_number": "727-822-4300",
"fax_number": "727-456-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W MLK BLVD",
"address_2": "3RD FLOOR MEDICAL ARTS BUILDING",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076307",
"telephone_number": "813-870-4948",
"fax_number": "813-554-8044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRECK",
"first_name": "MICHELLE",
"name_prefix": "Miss",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP2061912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306767000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.