Individual provider Active NPI

Brittany Michaela Gutschmidt, FNP

  • Primary Care Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1780240721
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11002412 Issued in FL
Practice address
1030 53Rd Ave N
St Petersburg, FL 33703-2738
Phone
(862) 219-8573
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11002412 FL Primary

Addresses

Primary practice location

1030 53Rd Ave N
St Petersburg, FL 33703-2738

Mailing address

1030 53Rd Ave N
St Petersburg, FL 33703-2738

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
I20190802001130 FL Practitioner - Nurse Practitioner 8325375017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002412FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Er2You LLC CurrentSince Jun 1, 2021 Accepting new patients
Revival Health Current Accepting new patients

Locations

1525 Tamiami Trl S
Ste 603F
Venice, FL 34285
Phone (941) 275-2968

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brittany.gutschmidt.1@17280.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1780240721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032738",
            "telephone_number": "862-219-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSCHMIDT",
        "first_name": "BRITTANY",
        "middle_name": "MICHAELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11002412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.