Active NPI
Maria T. Carranza, MT
- Clinical Laboratory Director (Non-physician)
- St Petersburg, FL
National Provider Identifier
1699331488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- SU26535
- Practice address
- 2126 1St Ave S
Saint Petersburg, FL 33712-1204 - Phone
- (727) 289-4747
- NPI assigned
- May 16, 2019
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | SU26535 | FL | Primary |
Addresses
Primary practice location
2126 1St Ave S
Saint Petersburg, FL 33712-1204
Mailing address
2621 1St Ave S
Saint Petersburg, FL 33712-1107
Phone (727) 289-4747
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.awakeningwellness.org | Direct |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SU26535 | FL | MD | Clinical Laboratory Director (Non-physician) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1699331488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 1ST AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337121107",
"telephone_number": "727-289-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 1ST AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337121204",
"telephone_number": "727-289-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRANZA",
"first_name": "MARIA",
"middle_name": "T.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "FL",
"license": "SU26535",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.awakeningwellness.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6161 Dr.Mlk Jr. N. Suite 100",
"city": "Saint Petersburg",
"state": "FL",
"country_code": "US",
"postal_code": "33703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Petersburg, FL
- Phyllis Carpenter, ARNP
- Christy Carr, LICENSED MASSAGE THE
- Jelessa Carr
- Vanessa Carr, MS RDN LDN
- Karelia Carralero Corella
- Patrick Andrew Carrier, MD
- Carrington Place of St Pete, LLC (Carrington Place Nursing & Rehabilitation Center)
- Stephanie Carrington, LPN
- Stephen Charles Carrington, LMT
- Carrington's Caring Angels
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.