Active NPI
Joseph Warren Verge, ANP
- Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1730449604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9415612
- Practice address
- 630 Pasadena Ave S
St Petersburg, FL 33707-2128 - Phone
- (727) 345-7100
- Fax
- (727) 345-7102
- NPI assigned
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304318-1 | NY | |
| Nurse Practitioner | 363L00000X | ARNP9415612 | FL | Primary |
Addresses
Primary practice location
630 Pasadena Ave S
St Petersburg, FL 33707-2128
Mailing address
630 Pasadena Ave S
St Petersburg, FL 33707-2128
Phone (727) 345-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMVR5 | Other | FL | FLORIDA BLUE |
| 018482700 | 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304318-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1730449604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072128",
"telephone_number": "727-345-7100",
"fax_number": "727-345-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072128",
"telephone_number": "727-345-7100",
"fax_number": "727-345-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGE",
"first_name": "JOSEPH",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-24",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304318-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9415612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "LMVR5",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018482700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.