Individual provider Active NPI

Brittany Breanne Papanikolaou, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Holiday, FL
National Provider Identifier
1679286231
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11023217 Issued in FL
Practice address
5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone
(727) 940-5908
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMV Diagnostics 21 clinicians

Practice addresses (Care Compare)

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230421002391 FL Practitioner - Nurse Practitioner 0143685354 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023217FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chaim Gitelis DO PC CurrentSince Aug 4, 2024 Accepting new patients
Mac Wound Solutions LLC PastSince Sep 17, 2023 Accepting new patients

Locations

333 W 41st St
Ste 414
Miami Beach, FL 33140
Phone (305) 538-8998

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

Interoperability endpoints

  • Direct secure messaging: brittany.papanikolaou@523775437635588.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11023217 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

5304 Mile Stretch Dr
Holiday, FL 34690-6060

Mailing address

4137 S Cambridge Way
Pace, FL 32571-7618
Phone (850) 346-4463

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2022.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1679286231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 S CAMBRIDGE WAY",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325717618",
            "telephone_number": "850-346-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 MILE STRETCH DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346906060",
            "telephone_number": "727-940-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANIKOLAOU",
        "first_name": "BRITTANY",
        "middle_name": "BREANNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.