Individual provider Active NPI

Melissa Marte, APRN

  • Family Nurse Practitioner
  • St. Petersburg, FL
National Provider Identifier
1659906816
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005686 Issued in FL
Practice address
5500 Dr. MLK Jr St N
St. Petersburg, FL 33703-1204
Phone
(727) 210-8391
Fax
(727) 522-2574
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11005686 FL Primary

Addresses

Primary practice location

5500 Dr. MLK Jr St N
St. Petersburg, FL 33703-1204

Mailing address

1839 Central Ave
St. Petersburg, FL 33713-8900
Phone (727) 322-1054

Other identifiers 2

IdentifierTypeStateIssuer
114745300MedicaidFL
NUK33OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005686FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Health Care of Pinellas Inc. CurrentSince Oct 7, 2024 Accepting new patients
Professional Health Care of Pinellas LLC Single Specialty CurrentSince Oct 7, 2024 Accepting new patients

Locations

5500 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 525-5500

1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054

6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1659906816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 DR. MLK JR ST N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337031204",
            "telephone_number": "727-210-8391",
            "fax_number": "727-522-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTE",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2024-11-08",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114745300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NUK33",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

Verify at the official NPI Registry.