Individual provider Active NPI

Jillian Meaghan Lodico, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1780202838
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006111 Issued in FL
Practice address
2721 60TH Ave N
Saint Petersburg, FL 33714-1455
Phone
(508) 369-4220
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006111 FL Primary

Addresses

Primary practice location

2721 60TH Ave N
Saint Petersburg, FL 33714-1455

Mailing address

2721 60TH Ave N
Saint Petersburg, FL 33714-1455
Phone (508) 369-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820001070 FL Practitioner - Nurse Practitioner 5991100547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

4833 Fruitville Rd
Unit 101
Sarasota, FL 34232-1885
Phone (878) 201-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006111FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MB Primary Care LLC CurrentSince Aug 23, 2021 Accepting new patients
Pcma Palliative Division LLC CurrentSince May 1, 2025 Accepting new patients
L Bhattacharjee MD PA PastSince Oct 1, 2022 Accepting new patients

Locations

1201 S Highland Ave
Ste 7
Clearwater, FL 33756
Phone (727) 394-1500

9555 Seminole Blvd
Ste 104
Seminole, FL 33772
Phone (727) 394-1500

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1780202838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 60TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141455",
            "telephone_number": "508-369-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 60TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337141455",
            "telephone_number": "508-369-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODICO",
        "first_name": "JILLIAN",
        "middle_name": "MEAGHAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.