Individual provider Active NPI

Ann Rudolph Owen, R.N.

  • Registered Nurse
  • Clearwater, FL
National Provider Identifier
1992036735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 92005139 Issued in FL
Practice address
1700 N McMullen Booth Rd Ste C3
Clearwater, FL 33759-2129
Phone
(727) 669-4551
Fax
(727) 669-2420
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 92005139 FL Primary

Addresses

Primary practice location

1700 N McMullen Booth Rd Ste C3
Clearwater, FL 33759-2129

Mailing address

5817 Myrtle LN
Tampa, FL 33625-1318
Phone (813) 323-8958

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 92005139FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Screen, LLC Current Accepting new patients

Locations

1700 N McMullen Booth Rd
Ste C3
Clearwater, FL 33759
Phone (727) 723-3921

1700 N McMullen Booth Rd
Ste C4
Clearwater, FL 33759
Phone (727) 799-0464

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992036735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 MYRTLE LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251318",
            "telephone_number": "813-323-8958",
            "fax_number": "727-669-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MCMULLEN BOOTH RD STE C3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337592129",
            "telephone_number": "727-669-4551",
            "fax_number": "727-669-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ANN",
        "middle_name": "RUDOLPH",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN 92005139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.