Individual provider Active NPI

Anne B Gielisse, ARNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Palm Harbor, FL
National Provider Identifier
1679765879
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
ARNP 1725562 Issued in FL
Practice address
2242 Palm Harbor Blvd
#64
Palm Harbor, FL 34683-2628
Phone
(727) 916-0567
Fax
(727) 784-7318
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X ARNP 1725562 FL Primary

Addresses

Primary practice location

2242 Palm Harbor Blvd
#64
Palm Harbor, FL 34683-2628

Mailing address

2242 Palm Harbor Blvd
#64
Palm Harbor, FL 34683-2628
Phone (727) 916-0567

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

State licenses

LicenseStateTypeSpecialty
ARNP 1725562FLMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1679765879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 PALM HARBOR BLVD",
            "address_2": "#64",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832628",
            "telephone_number": "727-916-0567",
            "fax_number": "727-784-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 PALM HARBOR BLVD",
            "address_2": "#64",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832628",
            "telephone_number": "727-916-0567",
            "fax_number": "727-784-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIELISSE",
        "first_name": "ANNE",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP 1725562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.