Individual provider Active NPI

Darren Aidan Doyle

  • Primary Care Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1902650542
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11032199 Issued in FL
Practice address
1200 7TH Ave N
St Petersburg, FL 33705-1388
Phone
(727) 551-7360
NPI assigned
Apr 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11032199 FL Primary

Addresses

Primary practice location

1200 7TH Ave N
St Petersburg, FL 33705-1388

Mailing address

6336 35TH Avenue Cir E
Palmetto, FL 34221-1938
Phone (727) 688-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000669 FL Practitioner - Nurse Practitioner 2365985256 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032199FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Precisely of Northside LLC CurrentSince May 9, 2024 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince May 9, 2024 Accepting new patients
Heal Precisely of Tampa Bay LLC CurrentSince May 9, 2024 Accepting new patients

Locations

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1902650542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 35TH AVENUE CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211938",
            "telephone_number": "727-688-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051388",
            "telephone_number": "727-551-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "DARREN",
        "middle_name": "AIDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11032199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.