Individual provider Active NPI

Shari Roberts, FNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1699171462
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9270485 Issued in FL
Practice address
6350 Central Ave
St Petersburg, FL 33707-1430
Phone
(727) 381-1144
Fax
(727) 381-6901
NPI assigned
Nov 6, 2014
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5967 CT
Family Nurse Practitioner 363LF0000X ARNP9270485 FL Primary

Addresses

Primary practice location

6350 Central Ave
St Petersburg, FL 33707-1430

Mailing address

6350 Central Ave
St Petersburg, FL 33707-1430

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
I20190329000057 FL Practitioner - Nurse Practitioner 6305186354 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5967CTMDPhysical Therapist
ARNP9270485FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chaim Gitelis DO PC CurrentSince Oct 1, 2023 Accepting new patients
GMS Florida West Coast Inc PastSince Jan 3, 1998 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 (813) 575-1161

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1699171462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071430",
            "telephone_number": "727-381-1144",
            "fax_number": "727-381-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHARI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9270485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.