Individual provider Active NPI

Jeanne Denise Mulvihill, ARNP

  • Adult Health Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1992993489
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP1704602 Issued in FL
Practice address
1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846
Phone
(727) 441-3711
Fax
(727) 441-3716
NPI assigned
Oct 9, 2007
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP1704602 FL Primary

Addresses

Primary practice location

1106 Druid Rd S
Suite 302
Clearwater, FL 33756-3846

Mailing address

2331 Wilshire Dr
Dunedin, FL 34698-9685
Phone (727) 560-9973

Other identifiers 1

IdentifierTypeStateIssuer
308752200MedicaidFL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Radiology, LLP Past Accepting new patients
Radiology Associates of Clearwater Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1992993489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 WILSHIRE DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989685",
            "telephone_number": "727-560-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "SUITE 302",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-441-3711",
            "fax_number": "727-441-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVIHILL",
        "first_name": "JEANNE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP1704602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308752200",
            "state": "FL"
        }
    ],
    "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 Apr 30, 2008; 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.