Individual provider Active NPI

Myung-Joo Handelman, A.R.N.P.

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1811001068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3040562 Issued in FL
Practice address
6399 38TH Ave N
Suite C6
St Petersburg, FL 33710-1647
Phone
(727) 384-6411
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3040562 FL Primary

Addresses

Primary practice location

6399 38TH Ave N
Suite C6
St Petersburg, FL 33710-1647

Mailing address

PO Box 14657
Clearwater, FL 33766-4657

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
I20101026001214 FL Practitioner - Nurse Practitioner 9739372418 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William N Handelman MD PA CurrentSince Jul 27, 2010 Accepting new patients

Locations

6399 38th Ave N
Ste C6
St Petersburg, FL 33710
Phone (727) 384-6411

6399 38th Ave N
St Petersburg, FL 33710
Phone (727) 384-6411

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811001068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14657",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337664657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 38TH AVE N",
            "address_2": "SUITE C6",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101647",
            "telephone_number": "727-384-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDELMAN",
        "first_name": "MYUNG-JOO",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3040562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.