Jonathan D Pope, AGPCNP-C, PMHNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9349601 Issued in FL

Practice address

2708 N 22ND St
Tampa, FL 33605-2760

Phone

(352) 541-0485

Fax

(813) 566-0881

NPI assigned

Feb 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sunshine, Lollipops and Rainbows, LLC

  • Psychiatry Physician
  • Bartow, FL
  • NPI 1841818952
  NPD Authorized official
• Darlene Williams PH D PA

  • Clinical Psychologist
  • Clearwater, FL
  • NPI 1801942834
  NPD (past)

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1912407628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052760",
            "telephone_number": "352-541-0485",
            "fax_number": "813-566-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052760",
            "telephone_number": "352-541-0485",
            "fax_number": "813-566-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13039 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336264483",
            "country_code": "US",
            "telephone_number": "888-531-1313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 S Bumby Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328036238",
            "country_code": "US",
            "telephone_number": "407-914-2049",
            "fax_number": "407-286-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "AGPCNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9349601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024125000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2708 N 22nd St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336052760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charla Ann Poore-Conroy, LMHC
• Pop Counseling LLC
• Jesal V Popat, MD
• Paiyal Popat, DMD, MS
• Cecille Rose Pope, MD
• Shaniyah Pope
• Barbara Popek
• Kyle Marissa Popkave
• Teresa Jo Poppas, LCSW
• Joel Christopher Porch, CRNA

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.