Organization Active NPI

Shushrut Health LLC

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1780335646
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SHUSHRUT HEALTH LLC
Practice address
6222 Avignon CT # 202
Tampa, FL 33647-5103
Phone
(918) 513-1767
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Denisse Castellanos, CSA
Title
Manager
Phone
(918) 513-1767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6222 Avignon CT # 202
Tampa, FL 33647-5103

Mailing address

6222 Avignon CT # 202
Tampa, FL 33647-5103
Phone (918) 513-1767

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hgbiologics@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1780335646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 AVIGNON CT # 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475103",
            "telephone_number": "918-513-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 AVIGNON CT # 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336475103",
            "telephone_number": "918-513-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUSHRUT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "DENISSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-513-1767",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hgbiologics@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6222 Avignon Ct # 202",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336475103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.