Active NPI
Clarene J Cress, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1700939568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME123259
- Practice address
- 10330 N Dale Mabry Hwy Ste 190
Tampa, FL 33618-4404 - Phone
- (813) 963-7788
- Fax
- (813) 443-8149
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME123259 | FL | Primary |
| Pediatrics Physician | 208000000X | 131798 | NY |
Addresses
Primary practice location
10330 N Dale Mabry Hwy Ste 190
Tampa, FL 33618-4404
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100790DL | Other | NY | PREFERRED CARE |
| 010131798 | Other | NY | BLUE CHOICE |
| 9626 | Other | NY | BLUE CROSS&BLUE SHIELD |
| 00449505 | Medicaid | NY | |
| 019742800 | Medicaid | FL |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123259 | FL | MD | Pediatrics Physician |
| 131798 | NY | MD | Pediatrics Physician |
Interoperability endpoints
- clarene.cress@direct.mybaycare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1700939568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-532-0002",
"fax_number": "727-266-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 N DALE MABRY HWY STE 190",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184404",
"telephone_number": "813-963-7788",
"fax_number": "813-443-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESS",
"first_name": "CLARENE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME123259",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "131798",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100790DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "010131798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS&BLUE SHIELD",
"identifier": "9626",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00449505",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019742800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.