United Metabolic Treatment Centers, LLC

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

UNITED METABOLIC TREATMENT CENTERS, LLC

Practice address

1200 South Pinellas Ave.
Suite 1
Tarpon Springs, FL 34689

Phone

(727) 682-5917

Fax

(727) 334-2244

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. William R Olive, Jr

Title

Managing Member

Phone

(727) 424-3830

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel De Benedetto

  • Nurse Practitioner
  • Clearwater, FL
  • NPI 1053018283
  Medicare reassignment Care Compare group NPD
• Julia Michele Triplett, NP-C

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1770811507
  Medicare reassignment Care Compare group NPD
• Almas Keshwani

  • Nurse Practitioner
  • Tarpon Springs, FL
  • NPI 1275216657
  Medicare reassignment

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1548969280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 LANSDEN COURT",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-424-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH PINELLAS AVE.",
            "address_2": "SUITE 1",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-682-5917",
            "fax_number": "727-334-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METABOLIC TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "OLIVE, JR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-424-3830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Truong
• Caterina Tsombanidis, MPT
• Lori Gilliam Tucker, OTR/L
• Twilight Medical, Inc.
• Unclouded Mind Behavioral Health LLC
• Stefania Vaccaro
• Jennifer Vacco
• Pamela MJ Van de Cappelle, APRN-BC
• Morgan Fallon Vandall, PA
• Tabitha Jocelyn Vania

• Infusion Therapy Registered Nurse in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Infusion Therapy Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.