Active NPI
Bayside Health and Wellness
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1659191302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BAYSIDE HEALTH AND WELLNESS
- Practice address
- 7901 4TH St N # 23853
St Petersburg, FL 33702-4305 - Phone
- (850) 296-7935
- NPI assigned
- Oct 16, 2024
- Last updated
- Oct 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Falco
- Title
- FNP
- Phone
- (919) 801-2742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
7901 4TH St N # 23853
St Petersburg, FL 33702-4305
Mailing address
PO Box 9536
Panama City Beach, FL 32417-9536
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Panama City Beach, FL
- NPI 1407627326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1659191302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9536",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324179536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N # 23853",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "850-296-7935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSIDE HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "FALCO",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "919-801-2742"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Bayou Shores SNF LLC (Rehabilitation Center of St Pete)
- Bayshore Health and Wellness, LLC
- Bayside Behavior Solutions
- Bayside Emergency Physicians PA
- Bayside Facility Inc (Bayside Care Center)
- Bayside Nursing and Rehab LLC
- Bayside Sport & Spine PLLC (Sea Change Chiropractic)
- Bayview OB/GYN, P.a.
- Bayway Medical Clinic Inc
- Baywood Facility Inc (Baywood Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.