Active NPI
Joseph Lampley
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saint Petersburg, FL
National Provider Identifier
1669828257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Practice address
- 4734 9TH Ave S
Saint Petersburg, FL 33711-1816 - Phone
- (727) 408-8043
- NPI assigned
- May 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
4734 9TH Ave S
Saint Petersburg, FL 33711-1816
Mailing address
4734 9TH Ave S
Saint Petersburg, FL 33711-1816
Phone (727) 408-8043
Other practice location 1
992 Union St
Dunedin, FL 34698-8265
Phone (727) 408-8043
Other practice location 2
200 S Arcturas Ave
Clearwater, FL 33765-3505
Phone (727) 408-8043
Other practice location 3
8772 118th St
Seminole, FL 33772-3511
Phone (727) 408-8043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017380900 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1669828257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4734 9TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337111816",
"telephone_number": "727-408-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4734 9TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337111816",
"telephone_number": "727-408-8043"
}
],
"practiceLocations": [
{
"address_1": "992 Union St",
"address_purpose": "LOCATION",
"city": "Dunedin",
"state": "FL",
"postal_code": "346988265",
"country_code": "US",
"telephone_number": "727-408-8043",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 S Arcturas Ave",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337653505",
"country_code": "US",
"telephone_number": "727-408-8043",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8772 118th St",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "FL",
"postal_code": "337723511",
"country_code": "US",
"telephone_number": "727-408-8043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAMPLEY",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-12",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017380900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.