Active NPI
Vonetta Nicole Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- VONETTA NICOLE PSYCHIATRY
- Practice address
- 1345 N Falkenburg Rd
Tampa, FL 33619-0945 - Phone
- (813) 388-8189
- Fax
- (813) 537-8718
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vonetta Nicole Erskine, PMHNP-BC
- Title
- Owner/Ceo
- Phone
- (772) 708-9728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1345 N Falkenburg Rd
Tampa, FL 33619-0945
Mailing address
1345 N Falkenburg Rd
Tampa, FL 33619-0945
Phone (813) 388-8189
Other practice location 1
5004 Wabash Pl
Riverview, FL 33578-4123
Phone (772) 708-9728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111656100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1345 N Falkenburg Rd
Tampa, FL 33619
Phone (386) 703-9084
100 S Ashley Dr
Ste 6001624
Tampa, FL 33602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1770256174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1720799471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 N FALKENBURG RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190945",
"telephone_number": "813-388-8189",
"fax_number": "813-537-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 N FALKENBURG RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190945",
"telephone_number": "813-388-8189",
"fax_number": "813-537-8718"
}
],
"practiceLocations": [
{
"address_1": "5004 Wabash Pl",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335784123",
"country_code": "US",
"telephone_number": "772-708-9728",
"fax_number": "813-537-8718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VONETTA NICOLE PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-13",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "ERSKINE",
"authorized_official_first_name": "VONETTA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "772-708-9728",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111656100",
"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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.