Individual provider Active NPI

Adrian Milton

  • Counselor
  • St Petersburg, FL
National Provider Identifier
1780136846
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 2ND Ave S
St Petersburg, FL 33701-4360
Phone
(727) 490-6769
NPI assigned
Oct 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Counselor 101Y00000X 0000000000000 FL

Addresses

Primary practice location

100 2ND Ave S
St Petersburg, FL 33701-4360

Mailing address

100 2ND Ave S
St Petersburg, FL 33701-4360
Phone (727) 490-6769

Other identifiers 2

IdentifierTypeStateIssuer
060590500OtherFLVILLAGE SOUTH GROUP MEDICAID NUMBER
075852300OtherFLWESTCARE GULCOAST FLORIDA'S GROUP MEDICAID

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

State licenses

LicenseStateTypeSpecialty
0000000000000FLMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1780136846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014360",
            "telephone_number": "727-490-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014360",
            "telephone_number": "727-490-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "0000000000000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VILLAGE SOUTH GROUP MEDICAID NUMBER",
            "identifier": "060590500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTCARE GULCOAST FLORIDA'S GROUP MEDICAID",
            "identifier": "075852300",
            "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 Oct 25, 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.

Verify at the official NPI Registry.