NPIMap

Organization Active NPI

Bayfront Health

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1922481399
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9288084 Issued in FL
Legal business name
BAYFRONT HEALTH
Practice address
603 7TH St S
Ste 500
St Petersburg, FL 33701-4719
Phone
(727) 893-6254
Fax
(727) 553-7158
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Miss Christina Ann Carlee
Title
Trauma Practitioner Arnp
Phone
(772) 485-6179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP9288084 FL Primary

Addresses

Primary practice location

603 7TH St S
Ste 500
St Petersburg, FL 33701-4719

Mailing address

603 7TH St S
Ste 500
St Petersburg, FL 33701-4719
Phone (727) 893-6254

National Provider Directory

National Provider Directory
Tax ID family
Bayfront Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1922481399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-893-6254",
            "fax_number": "727-553-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S",
            "address_2": "STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-893-6254",
            "fax_number": "727-553-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "CARLEE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "TRAUMA PRACTITIONER ARNP",
        "authorized_official_telephone_number": "772-485-6179",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9288084",
            "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 Jul 3, 2015; 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.