Organization Active NPI

Clear Path Center PA

  • Adult Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1932598349
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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

Updated by the provider on Apr 23, 2015

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.