Organization Active NPI

Daniel B Wright NP-C

  • Psychiatric/Mental Health Registered Nurse
  • Clearwater, FL
National Provider Identifier
1801421714
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
DANIEL B WRIGHT NP-C
Practice address
140 Island Way Unit 127
Clearwater, FL 33767-2216
Phone
(229) 891-6332
NPI assigned
Mar 11, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Carolyn Reidy
Title
Office Admin
Phone
(845) 590-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X Primary

Addresses

Primary practice location

140 Island Way Unit 127
Clearwater, FL 33767-2216

Mailing address

225 Chinaberry LN
Moultrie, GA 31788-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623002024 FL Part B Supplier - Clinic/Group Practice 5294157103 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2940 E Park Ave
Ste 1A
Tallahassee, FL 32301
Phone (229) 891-6332

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1801421714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHINABERRY LN",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317882196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ISLAND WAY UNIT 127",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337672216",
            "telephone_number": "229-891-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B WRIGHT NP-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "845-590-3230"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.