Active NPI
Barbara Ileana De la Noval, F.N.P.
- Family Nurse Practitioner
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9172946
- Practice address
- 14100 58TH St N
Clearwater, FL 33760-9900 - Phone
- (727) 824-8181
- Fax
- (727) 541-7984
- NPI assigned
- Aug 20, 2016
- Last updated
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004658 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95004658 | CA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9172946 | FL | Primary |
Addresses
Primary practice location
14100 58TH St N
Clearwater, FL 33760-9900
Mailing address
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone (727) 824-8181
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
4950 34TH St N
St Petersburg, FL 33714-3031
Phone (727) 824-8181
7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9172946 | FL | MD | Family Nurse Practitioner |
| 95004658 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Center of Pinellas Inc | Current | Accepting new patients |
Locations
14100 58th St N
Clearwater, FL 33760
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
5523 Roosevelt Blvd
Clearwater, FL 33760
707 Druid Rd E
Clearwater, FL 33756
Phone (727) 461-1439
12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729
7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222
1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701
4950 34th St N
St Petersburg, FL 33714
612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 609-9130
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- St Petersburg, FL
- NPI 1013669878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1881149797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181",
"fax_number": "727-824-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181",
"fax_number": "727-541-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA NOVAL",
"first_name": "BARBARA",
"middle_name": "ILEANA",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004658",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95004658",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9172946",
"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 Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.