Individual provider Active NPI

Trudy Cheri Grossman, FNP-BC, APRN

  • Primary Care Nurse Practitioner
  • Gulfport, FL
National Provider Identifier
1922309178
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9227290 Issued in FL
Practice address
2710 48TH Street South
Gulfport, FL 33711
Phone
(727) 492-0117
Fax
(813) 635-7943
NPI assigned
Nov 4, 2010
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 APRN9227290 FL Primary

Addresses

Primary practice location

2710 48TH Street South
Gulfport, FL 33711

Mailing address

2710 48TH Street South
Gulfport, FL 33711
Phone (727) 492-0117

Other practice location 1

863 3rd Ave N
St Petersburg, FL 33701-2703
Phone (727) 327-0333

Other identifiers 1

IdentifierTypeStateIssuer
113514600MedicaidFL

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
I20101207001333 FL Practitioner - Nurse Practitioner 7911194642 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9227290FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Ante Rudez MD PA Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

12899 Walsingham Rd
Largo, FL 33774
Phone (727) 596-9490

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1922309178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 48TH STREET SOUTH",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-492-0117",
            "fax_number": "813-635-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 48TH STREET SOUTH",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-492-0117",
            "fax_number": "813-635-7943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 3rd Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337012703",
            "country_code": "US",
            "telephone_number": "727-327-0333",
            "fax_number": "727-321-6412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "TRUDY",
        "middle_name": "CHERI",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2025-08-12",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9227290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113514600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, FL

Sources for this page

Verify at the official NPI Registry.