Individual provider Active NPI

Mariam Exposito Nodarse

  • Student in an Organized Health Care Education/Training Program
  • Pinellas Park, FL
National Provider Identifier
1982239240
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
7978 66TH Way N
Pinellas Park, FL 33781-2058
Phone
(727) 656-9178
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

7978 66TH Way N
Pinellas Park, FL 33781-2058

Mailing address

7978 66TH Way N
Pinellas Park, FL 33781-2058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001354 FL Practitioner - Physician Assistant 6305221532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians

Practice addresses (Care Compare)

10125 Big Bend Rd
Riverview, FL 33578-7417
Phone (813) 605-3200

1155 S Dale Mabry Hwy
Tampa, FL 33629-5035
Phone (813) 609-3666

1599 66TH St N
St Petersburg, FL 33710-5536
Phone (727) 317-3388

17512 Dona Michelle Dr
Tampa, FL 33647-3265
Phone (813) 533-3494

2331 4TH St N
St Petersburg, FL 33704-2801
Phone (727) 914-8566

2442 Bloomingdale Ave
Valrico, FL 33596-6403
Phone (813) 586-8686

3351 N McMullen Booth Rd
Clearwater, FL 33761-2014
Phone (727) 314-4774

3440 W Dr MLK Blvd
Suite 100
Tampa, FL 33607-6223
Phone (813) 559-1888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Bayside Urgent Care Center Inc. CurrentSince Sep 19, 2022 Accepting new patients
Baycare Urgent Care, LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1001 S Fort Harrison Ave
Ste 101
Clearwater, FL 33756
Phone (727) 441-5044

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1982239240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7978 66TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7978 66TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812058",
            "telephone_number": "727-656-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXPOSITO NODARSE",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.