Larkin M Accinelli, NP

Individual provider Active NPI Critical Care Pediatric Nurse Practitioner · St Petersburg, FL

NPI 1811313299 · NPPES record last updated Dec 6, 2016

Key facts

NPI
1811313299
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Pediatric Nurse Practitioner 363LP0222X
License
363LP0200X (FL)
Practice address
601 5TH St S
5TH Floor
St Petersburg, FL 33701-4804
Phone
(727) 767-4343
Fax
(727) 767-8526
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
363LP0200XFLMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georiga Fertility Institute Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN218052 GA
Critical Care Pediatric Nurse Practitioner 363LP0222X 363LP0200X FL Yes
Critical Care Pediatric Nurse Practitioner 363LP0222X RN218052 GA

Addresses

Primary practice location

601 5TH St S
5TH Floor
St Petersburg, FL 33701-4804

Mailing address

601 5TH St S
St Petersburg, FL 33701-4804
Phone (727) 767-4343

Other providers in St Petersburg, FL

All providers in St Petersburg, FL · Critical Care Pediatric Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.