Young Men'S Christian Association of Greater St. Petersburg Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER ST. PETERSBURG INC.

Practice address

600 1St Ave N
Suite 201
St Petersburg, FL 33701-3609

Phone

(727) 895-9622

Fax

(727) 499-7590

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

David W Jezek

Title

President/Ceo

Phone

(727) 895-9622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Losito

  • Health Educator
  • St Petersburg, FL
  • NPI 1548082621
  NPD (past)
• Deborah P Scott

  • Health Educator
  • St Petersburg, FL
  • NPI 1821590258
  NPD (past)
• Alexandra Stefanes

  • Health Educator
  • St Petersburg, FL
  • NPI 1992382857
  NPD (past)
• Dawn Mitchell Wilder

  • Health Educator
  • St Petersburg, FL
  • NPI 1346741105
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1669929089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "address_2": "SUITE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013609",
            "telephone_number": "727-895-9622",
            "fax_number": "727-499-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1ST AVE N",
            "address_2": "SUITE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013609",
            "telephone_number": "727-895-9622",
            "fax_number": "727-499-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER ST. PETERSBURG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "JEZEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "727-895-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Yost, FNP-BC
• Melissa L Yost, LCSW
• Katherine Ann Youhn
• Gary Richard Youmans, M.D.
• Kimberly Young Brazill, LMHC
• Diana Young, M.D.
• Diana Kweiling Young
• Feona Young
• Kailee Young
• Katharine Young

• Health Educator in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Health Educator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.