Charlotte Deolaso, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2877382 Issued in FL

Practice address

859 37TH Ave NE
St Petersburg, FL 33704-1621

Phone

(727) 498-0624

Fax

(727) 498-0625

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1770927485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 37TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 37TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041621",
            "telephone_number": "727-498-0624",
            "fax_number": "727-498-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOLASO",
        "first_name": "CHARLOTTE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2877382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.