Individual provider Active NPI

Barbara Ileana De la Noval, F.N.P.

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1881149797
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9172946 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912003571 FL Practitioner - Nurse Practitioner 5193004794 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ARNP9172946FLMDFamily Nurse Practitioner
95004658CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Pinellas Inc. CurrentSince Jan 29, 2019 Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Jan 29, 2019 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.

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

Verify at the official NPI Registry.