Individual provider Active NPI

Rena Elizabeth Gilbertson, EMT, IDHS

  • Basic Emergency Medical Technician
  • St Petersburg, FL
National Provider Identifier
1962173203
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E3203371
Practice address
1301 Beach Dr SE
St Petersburg, FL 33701-5621
Phone
(727) 502-1585
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E3203371 Primary

Addresses

Primary practice location

1301 Beach Dr SE
St Petersburg, FL 33701-5621

Mailing address

1301 Beach Dr SE
St Petersburg, FL 33701-5621
Phone (727) 502-1585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rena.E.Gilbertson@uscg.mil Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1962173203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BEACH DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015621",
            "telephone_number": "727-502-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BEACH DR SE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337015621",
            "telephone_number": "727-502-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERTSON",
        "first_name": "RENA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "EMT, IDHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3203371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rena.E.Gilbertson@uscg.mil",
            "affiliation": "N",
            "endpointDescription": "Military Outlook Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE optional.",
            "address_1": "1301 Beach Dr SE",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337015621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 27, 2021; 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.