Individual provider Active NPI

Narissa Etwaroo, MD

  • Psychiatry Physician
  • Saint Petersburg, FL
National Provider Identifier
1790129617
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME132781 Issued in FL
Practice address
3840 5TH Ave N
Saint Petersburg, FL 33713-7521
Phone
(727) 367-2273
Fax
(727) 800-6929
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME132781 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME132781 FL

Addresses

Primary practice location

3840 5TH Ave N
Saint Petersburg, FL 33713-7521

Mailing address

3840 5TH Ave N
Saint Petersburg, FL 33713-7521
Phone (727) 367-2273

Other practice location 1

1062 Lake Sebring Dr
Sebring, FL 33870-1426
Phone (863) 451-0084

Other practice location 2

10800 Temple Ter
Seminole, FL 33772-4736
Phone (727) 456-8190

Other identifiers 1

IdentifierTypeStateIssuer
022920700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180212000815 FL Practitioner - Psychiatry 9335445394 Reassigns benefits to 2 organizations
I20190723002211 WI Practitioner - PsychiatryPractitioner - Addiction Medicine 9335445394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ibis Healthcare IncGroup PAC ID 2769469204, 24 clinicians

Practice addresses (Care Compare)

5707 - N 22ND St
Tampa, FL 33610-4350
Phone (813) 239-8069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME132781FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc CurrentSince Oct 21, 2017 Accepting new patients
Caring Community Counseling LLC CurrentSince Mar 1, 2023 Accepting new patients
Rogers Memorial Hospital Incorporated CurrentSince Jun 16, 2019 Accepting new patients
Ibis Healthcare Inc CurrentSince Oct 21, 2017 Accepting new patients
Banyan Sebring PastSince Apr 1, 2022 Accepting new patients
Rogers Memorial Hospital Incorporated Past Accepting new patients
Rogers Behavioral Health - Wisconsin SC Addiction Medicine PastSince Jun 16, 2019 Accepting new patients
Rogers Memorial Hospital, Inc. Past Accepting new patients
Caring Community Counseling PastSince Mar 1, 2023 Accepting new patients
Rogers Memorial Hospital Incorporated Past Accepting new patients

Locations

3840 5th Ave N
St Petersburg, FL 33713
Phone (727) 367-2273

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

2212 E Henry Ave
Tampa, FL 33610
Phone (813) 272-2882

5201 W Kennedy Blvd
Ste 600
Tampa, FL 33609

5 Innovation Ct
Ste 100
Appleton, WI 54914

4351 W College Ave
Ste 300
Appleton, WI 54914
Phone (844) 258-1072

406 Science Dr
Ste 110
Madison, WI 53711
Phone (608) 238-4411

34700 Valley Rd
Oconomowoc, WI 53066

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

2424 S 102nd St
West Allis, WI 53227
Phone (414) 373-7474

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1790129617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 5TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137521",
            "telephone_number": "727-367-2273",
            "fax_number": "727-800-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 5TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137521",
            "telephone_number": "727-367-2273",
            "fax_number": "727-800-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Lake Sebring Dr",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701426",
            "country_code": "US",
            "telephone_number": "863-451-0084",
            "fax_number": "863-658-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Temple Ter",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337724736",
            "country_code": "US",
            "telephone_number": "727-456-8190",
            "fax_number": "727-456-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETWAROO",
        "first_name": "NARISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME132781",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME132781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022920700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.