Active NPI
Stephanie Perrino
- Nutritionist
- St Petersburg, FL
National Provider Identifier
1649095936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 146 2ND St N Ste 101
St Petersburg, FL 33701-3361 - Phone
- (727) 490-9911
- NPI assigned
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
146 2ND St N Ste 101
St Petersburg, FL 33701-3361
Mailing address
146 2ND St N Ste 101
St Petersburg, FL 33701-3361
Phone (727) 490-9911
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurodivergent Empowerment Institute Inc | Current | Accepting new patients | |
| Bionic Bloom | Current | Accepting new patients |
Locations
146 2nd St N
Ste 101
St Petersburg, FL 33701
Phone (727) 490-9911
Organizations & group practices 2
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.
-
- Clinic/Center
- Clearwater, FL
- NPI 1285355610
-
- Clinical Neuropsychologist
- St Petersburg, FL
- NPI 1578385092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1649095936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 2ND ST N STE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013361",
"telephone_number": "727-490-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 2ND ST N STE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013361",
"telephone_number": "727-490-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRINO",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.