Individual provider Active NPI

Arielle Schreck

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1992167100
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME166403 Issued in FL
Practice address
4030 W Boy Scout Blvd Ste 800
Tampa, FL 33607-5713
Phone
(813) 286-0033
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2020-00369 NC
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X ME166403 FL Primary

Addresses

Primary practice location

4030 W Boy Scout Blvd Ste 800
Tampa, FL 33607-5713

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2610

Other practice location 2

112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2610

Other practice location 3

325 N State Of Franklin Rd
Johnson City, TN 37604-6056
Phone (423) 439-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, VA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220708002480 VT Practitioner - Obstetrics/Gynecology 2466873526 Reassigns benefits to 1 organization
I20230119003287 VA Practitioner - Obstetrics/Gynecology 2466873526 Reassigns benefits to 2 organizations
I20240324000065 FL Practitioner - Obstetrics/Gynecology 2466873526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens' Health Hospitalists, LLCGroup PAC ID 1850674870, 20 clinicians

Practice addresses (Care Compare)

4030 W Boy Scout Blvd
Suite 800
Tampa, FL 33607-5713
Phone (813) 286-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME166403FLMDObstetrics & Gynecology Physician
2020-00369NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 19, 2024 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 19, 2024 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Apr 17, 2023 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Oct 12, 2022 Accepting new patients
Gifford Health Care, Inc CurrentSince Jun 29, 2022 Accepting new patients
Gifford Health Care, Inc CurrentSince Jun 29, 2022 Accepting new patients
Clinch Valley Physicians Associates LLC Obstetrics & Gynecology Current Accepting new patients

Locations

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

826 Davis St
Blacksburg, VA 24060
Phone (540) 443-0500

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • Direct secure messaging: arielle.schreck.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 7

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1992167100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 W BOY SCOUT BLVD STE 800",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075713",
            "telephone_number": "813-286-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093361",
            "country_code": "US",
            "telephone_number": "252-384-2610",
            "fax_number": "252-338-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093361",
            "country_code": "US",
            "telephone_number": "252-384-2610",
            "fax_number": "252-338-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046056",
            "country_code": "US",
            "telephone_number": "423-439-6262",
            "fax_number": "423-439-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRECK",
        "first_name": "ARIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2020-00369",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME166403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.