Individual provider Active NPI

Justin P Webb, APRN

  • Nurse Practitioner
  • Saint Petersburg, FL
National Provider Identifier
1669957221
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9378140 Issued in FL
Practice address
640 Tyrone Blvd N
Saint Petersburg, FL 33710-7126
Phone
(727) 528-7827
NPI assigned
Sep 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X ARNP9378140 FL
Nurse Practitioner 363L00000X ARNP9378140 FL Primary

Addresses

Primary practice location

640 Tyrone Blvd N
Saint Petersburg, FL 33710-7126

Mailing address

103 94TH Ave NE
Saint Petersburg, FL 33702-2647
Phone (727) 267-9911

Other practice location 1

103 94th Ave NE
Saint Petersburg, FL 33702-2647
Phone (727) 267-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829004215 FL Practitioner - Nurse Practitioner 6204864259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

201 14TH St SW
HCA Florida Largo Hospital
Miami, FL 33770-3133
Phone (727) 588-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9378140FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Professional Urgent Care Services CurrentSince Jul 18, 2019 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

640 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 347-6577

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1669957221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 94TH AVE NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022647",
            "telephone_number": "727-267-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337107126",
            "telephone_number": "727-528-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 94th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337022647",
            "country_code": "US",
            "telephone_number": "727-267-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "ARNP9378140",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9378140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.