Organization Active NPI

Nurse Practitioners of Pinellas, LLC.

  • Primary Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1851878094
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NURSE PRACTITIONERS OF PINELLAS, LLC.
Practice address
3551 42ND Avenue South Suite B107
St Petersburg, FL 33711-4369
Phone
(727) 290-6116
Fax
(727) 290-6762
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Ms. Ronsha Brown, ARNPNPI 1801285051
Title
Owner
Phone
(727) 290-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

3551 42ND Avenue South Suite B107
St Petersburg, FL 33711-4369

Mailing address

3551 42ND Avenue South Suite B107
St Petersburg, FL 33711-4369
Phone (727) 290-6116

Other practice location 1

5631 12th Ave N
St Petersburg, FL 33710-5805
Phone (850) 321-1383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190503001022 FL Part B Supplier - Clinic/Group Practice 0244572675 Receives reassigned benefits from 4 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1851878094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 42ND AVENUE SOUTH SUITE B107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114369",
            "telephone_number": "727-290-6116",
            "fax_number": "727-290-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 42ND AVENUE SOUTH SUITE B107",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114369",
            "telephone_number": "727-290-6116",
            "fax_number": "727-290-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5631 12th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337105805",
            "country_code": "US",
            "telephone_number": "850-321-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURSE PRACTITIONERS OF PINELLAS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RONSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-290-6116",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 8, 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.