Individual provider Active NPI

Sheron Angela Bygraves, LPN

  • Licensed Practical Nurse
  • St Petersburg, FL
National Provider Identifier
1881852226
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5153429 Issued in FL
Practice address
6425 Canton St S
St Petersburg, FL 33712-5560
Phone
(727) 865-0374
NPI assigned
May 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5153429 FL Primary

Addresses

Primary practice location

6425 Canton St S
St Petersburg, FL 33712-5560

Mailing address

6425 Canton St S
St Petersburg, FL 33712-5560
Phone (727) 865-0374

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5153429FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1881852226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 CANTON ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125560",
            "telephone_number": "727-865-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 CANTON ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125560",
            "telephone_number": "727-865-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYGRAVES",
        "first_name": "SHERON",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5153429",
            "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 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.