Evening Pediatrics, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVENING PEDIATRICS, INC

Practice address

4040 49TH St N
St Petersburg, FL 33709-5734

Phone

(727) 526-6483

Fax

(727) 526-4346

NPI assigned

Feb 2, 2007

Organization subpart

Yes

Parent organization

EVENING PEDIATRICS INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Cibran

Title

President

Phone

(727) 526-6483

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Your Kids Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Evening Pediatrics Inc

Locations

Practitioners 7

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

• Mark L Ritch, D.O.

  • Neurology Physician
  • Largo, FL
  • NPI 1659313732
  Medicare reassignment NPD
• Sharlene Hope Smith, ARNP

  • Pediatric Nurse Practitioner
  • Mount Dora, FL
  • NPI 1427306745
  Medicare reassignment NPD
• Maria Walke, ARNP

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1346469202
  Medicare reassignment NPD
• Marta J Berio, MD

  • Pediatrics Physician
  • Largo, FL
  • NPI 1013905066
  NPD (past)
• Courtney Cox

  • Pediatric Nurse Practitioner
  • Largo, FL
  • NPI 1467200402
  NPD (past)
• Alexandra Patterson

  • Pediatric Nurse Practitioner
  • Largo, FL
  • NPI 1871249037
  NPD (past)
• Christina Vernessa Turner, ARNP

  • Family Nurse Practitioner
  • Largo, FL
  • NPI 1275143596
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1891833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-526-9135",
            "fax_number": "727-526-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337095734",
            "telephone_number": "727-526-6483",
            "fax_number": "727-526-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12190 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337782833",
            "country_code": "US",
            "telephone_number": "727-586-6483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4586 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328125233",
            "country_code": "US",
            "telephone_number": "407-751-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 W Mlk Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076302",
            "country_code": "US",
            "telephone_number": "813-876-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVENING PEDIATRICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVENING PEDIATRICS INC",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CIBRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-526-6483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277728200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Evans, RDMS, RVT
• Sara Evans
• Marissa Evarts
• Kristine Marie Evavold, NURSE PRACTITIONER
• Evening Pediatrics Inc
• Perry Boyd Everett, M.D.
• Carlisa D Everhart
• Everlasting Grace Assisted Living Inc.
• Everstone LLC
• Everyone'S Youth United, Inc.

• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.