Active NPI
Clear Path Center PA
- Adult Medicine Physician
- St Petersburg, FL
National Provider Identifier
1932598349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- CLEAR PATH CENTER PA
- Practice address
- 3177 4TH St N
St Petersburg, FL 33704-2124 - Phone
- (877) 585-2955
- NPI assigned
- Jan 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawne Era, LCSW
- Title
- President
- Phone
- (401) 595-3456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
3177 4TH St N
St Petersburg, FL 33704-2124
Mailing address
3177 4TH St N
St Petersburg, FL 33704-2124
Phone (877) 585-2955
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1932598349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3177 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337042124",
"telephone_number": "877-585-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3177 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337042124",
"telephone_number": "877-585-2955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR PATH CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-22",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "ERA",
"authorized_official_first_name": "DAWNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-595-3456",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"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 Apr 23, 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.