Individual provider Active NPI

Ashleigh N Anderlik, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1841544848
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9234283 Issued in FL
Practice address
1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone
(727) 825-1067
Fax
(386) 274-7801
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9234283 FL Primary
Family Nurse Practitioner 363LF0000X APRN9234283 FL

Addresses

Primary practice location

1200 7TH Ave N
St Petersburg, FL 33705-1300

Mailing address

PO Box 10030
Daytona Beach, FL 32120-0030
Phone (386) 274-7800

Other practice location 1

13777 Belcher Rd S
Largo, FL 33771-4003
Phone (727) 544-1600

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
I20121121000247 FL Practitioner - Nurse Practitioner 2567613599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Infusion, LLCGroup PAC ID 1254660467, 44 clinicians

Practice addresses (Care Compare)

910 Old Camp Rd
Suite 196
The Villages, FL 32162-5605
Phone (352) 565-5553

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9234283FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007

205 S Moon Ave
Ste 105
Brandon, FL 33511
Phone (813) 681-6064

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886

1961 E Edgewood Dr
Ste 102
Lakeland, FL 33803
Phone (863) 777-2528

25 W Kaley St
Ste 301
Orlando, FL 32806
Phone (407) 792-6558

2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655

6101 Webb Rd
Ste 103
Tampa, FL 33615
Phone (813) 771-2181

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

2789 Brownwood Blvd
The Villages, FL 32163
Phone (352) 450-3080

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

333 Tamiami Trl S
Ste 375
Venice, FL 34285
Phone (941) 337-0779

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1841544848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10030",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321200030",
            "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": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1067",
            "fax_number": "386-274-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13777 Belcher Rd S",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337714003",
            "country_code": "US",
            "telephone_number": "727-544-1600",
            "fax_number": "727-545-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERLIK",
        "first_name": "ASHLEIGH",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9234283",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9234283",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.