Individual provider Active NPI

Jonathan Woolverton, APRN

  • Nurse Practitioner
  • Apollo Beach, FL
National Provider Identifier
1588259196
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11012483 Issued in FL
Practice address
227 Lookout Dr
Apollo Beach, FL 33572-2664
Phone
(813) 502-9070
NPI assigned
Mar 5, 2021
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11012483 FL Primary
Registered Nurse 163W00000X RN9505164 FL

Addresses

Primary practice location

227 Lookout Dr
Apollo Beach, FL 33572-2664

Mailing address

227 Lookout Dr
Apollo Beach, FL 33572-2664
Phone (813) 409-4587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220217000756 FL Practitioner - Nurse Practitioner 3779976626 Reassigns benefits to 2 organizations
I20240608000078 NY Practitioner - Nurse Practitioner 3779976626 Reassigns benefits to 2 organizations
I20241216002393 MA Practitioner - Nurse Practitioner 3779976626 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9505164FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Nurse Practitioner CurrentSince Jul 8, 2024 Accepting new patients
Careathome Medical Practice (Ma), P.C. CurrentSince Dec 9, 2024 Accepting new patients
Beyond Health Medical Group CurrentSince Apr 20, 2021 Accepting new patients
Five Star Medical Office PC CurrentSince Jul 1, 2024 Accepting new patients
CTD Network LLC CurrentSince May 8, 2025 Accepting new patients
Perfect Health PC CurrentSince Dec 9, 2024 Accepting new patients
Careathome Medical Practice CurrentSince Jul 1, 2024 Accepting new patients
Caringathome, LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Deborah F Shultz MD PA PastSince Mar 10, 2007 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

75 Arlington St
Ste 500
Boston, MA 02116
Phone (617) 274-8734

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jonathan.woolverton@450368864321540.direct.elationemr.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1588259196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LOOKOUT DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722664",
            "telephone_number": "813-409-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LOOKOUT DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722664",
            "telephone_number": "813-502-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLVERTON",
        "first_name": "JONATHAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11012483",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9505164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.