Active NPI
Vicenta Maribel Hawkins, DO
- Emergency Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS9189
- Practice address
- 701 6TH St S
St Petersburg, FL 33701-4814 - Phone
- (727) 823-1234
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS9189 | FL | Primary |
Addresses
Primary practice location
701 6TH St S
St Petersburg, FL 33701-4814
Mailing address
1530 Cornerstone Blvd
Suite 200
Daytona, FL 32117
Phone (386) 274-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272885100 | Medicaid | FL | |
| 29520 | Other | FL | BLUE CROSS OF FLORIDA |
| 212699 | Other | FL | AMERIGROUP |
Other names 1
- Dr. Maribel Vicenta Palacios
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050824000658 | FL | Practitioner - Emergency Medicine | 3274564752 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Pinellas PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Crossroads | Emergency Medicine | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Emergency Physicians of St Petersburg PA | Emergency Medicine | Current | Accepting new patients |
Locations
3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
603 7th St S
Ste 360
St Petersburg, FL 33701
Phone (727) 553-7300
1800 66th St N
St Petersburg, FL 33710
Phone (727) 823-1234
Interoperability endpoints
- vhawkins188903@orlandohealth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1538858774
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Pinellas Park, FL
- NPI 1023590056
Emergency Medicine, FL
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1851726566
Emergency Medicine, FL
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1790711133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 CORNERSTONE BLVD",
"address_2": "SUITE 200",
"city": "DAYTONA",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-274-7800",
"fax_number": "386-274-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 6TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014814",
"telephone_number": "727-823-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "VICENTA",
"middle_name": "MARIBEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS9189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272885100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF FLORIDA",
"identifier": "29520",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "212699",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIBEL",
"last_name": "PALACIOS",
"middle_name": "VICENTA",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.