Active NPI
Empowermind Integrative Health
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1720984511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EMPOWERMIND INTEGRATIVE HEALTH
- Practice address
- 4932 20TH Ave N
Saint Petersburg, FL 33710-5214 - Phone
- (727) 296-3037
- NPI assigned
- Oct 17, 2026
- Last updated
- Oct 17, 2026
- 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
- Cameron Jordan
- Title
- Owner
- Phone
- (727) 296-3037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
4932 20TH Ave N
Saint Petersburg, FL 33710-5214
Mailing address
4932 20TH Ave N
Saint Petersburg, FL 33710-5214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1720984511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4932 20TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337105214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4932 20TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337105214",
"telephone_number": "727-296-3037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERMIND INTEGRATIVE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-17",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-296-3037"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Ronda S Emory, CRNA
- Empath Adult Day Centers
- Empath Health Pharmaceuticals, LLC (Empath Health Pharmacy)
- Empower Your Energy LLC
- Empowered Minds Therapy LLC
- Encompass Health Rehabilitation Hospital of St. Petersburg, LLC (Encompass Health Rehabilitation Hospital of St. Petersburg)
- James Nesbit Endicott II, MD
- Endocrinology Consultants of St. Petersburg
- Eneberg Physical Therapy and Wellness
- Enerqi Wellness Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.