Andrea Martha Scremin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME 99350 Issued in FL

Practice address

145 5TH Ave NE
St Petersburg, FL 33701-3015

Phone

(727) 820-0505

Fax

(727) 820-9707

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Martha Ellis Former name

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

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.

• Lia Nardone MD PA

  • Psychiatry Physician
  • St Petersburg, FL
  • NPI 1659543171
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1568664753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013015",
            "telephone_number": "727-820-0505",
            "fax_number": "727-820-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCREMIN",
        "first_name": "ANDREA",
        "middle_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 99350",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ELLIS",
            "middle_name": "MARTHA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ladell Scott, MSW
• Timothy Alan Scott, AAP/CRPS
• William Carpenter Scott, DMD
• Stephanie Michelle Scoville, ATC
• Scow of Florida, LLC (Vitality Chiropractic and Wellness Center)
• Abigail Scribano
• Scripts Pharmacy LLC
• Scripts Pharmacy LLC (Scripts Pharmacy)
• Christa Scull, RBT
• Christopher Scull, BCBA

• Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.