Integra Longevity LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

INTEGRA LONGEVITY LLC

Practice address

3901 66TH St N Ste 101
Saint Petersburg, FL 33709-4949

Phone

(727) 214-4622

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Patrick Bengston, NP

Title

Owner

Phone

(727) 214-4622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1972423770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094949",
            "telephone_number": "727-214-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N STE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094949",
            "telephone_number": "727-214-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA LONGEVITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "BENGSTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-214-4622",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.