NIKOLE RAE ORTA


Address: 1344 22nd St S, St Petersburg, FL 33712-2744
Phone: 7278248181

NIKOLE RAE ORTA (NPI# 1013469279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013469279
Entity Type Individual
Full Name NIKOLE RAE ORTA
Other Name NIKOLE RAE BROOM-SMITH
Credential ARNP
Practice Address 1344 22nd St S
St Petersburg
FL 33712-2744
Mailing Address Po Box 25317
Tampa
FL 33622-5317
Practice Telephone 7278248181
Practice Fax Number 7278248137
Mailing Telephone 8132860033
Mailing Fax Number 8132820806
Enumeration Date 2016-11-03
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 9327079 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 019680100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4150 N Armenia Ave, Tampa, FL 336076448 8138760914 8138769198

Office Location

Street Address 1344 22ND ST S
City ST PETERSBURG
State FL
Zip Code 33712-2744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376531988 James William Kenney Chiropractor 1344 22nd St S, St Petersburg, FL 33712-2744 2005-10-07
1376155937 Leidy Santos Dentist 1344 22nd St S, St Petersburg, FL 33712-2744 2020-08-17
1104440676 Callie Ashlock Nurse Practitioner 1344 22nd St S, St Petersburg, FL 33712-2744 2020-06-01
1477172393 Jamekia Shonta Grant Pharmacist 1344 22nd St S, St Petersburg, FL 33712-2744 2020-04-10
1720623606 Jonathan Corey Tanner Dentist 1344 22nd St S, St Petersburg, FL 33712-2744 2019-11-14
1447806484 Joshua Colvin Dentist 1344 22nd St S, St Petersburg, FL 33712-2744 2019-08-15
1194283382 Community Health Center of Pinellas Inc Clinic/Center 1344 22nd St S, St Petersburg, FL 33712-2744 2019-03-06
1346749892 Megan Marie Hindmon Nurse Practitioner 1344 22nd St S, St Petersburg, FL 33712-2744 2018-02-09
1255859690 Jenny Marie Bagg Advanced Practice Midwife 1344 22nd St S, St Petersburg, FL 33712-2744 2017-09-06
1649792649 Elizabeth Lynne Plumley Advanced Practice Midwife 1344 22nd St S, St Petersburg, FL 33712-2744 2017-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831663616 Courtney Nicole West Community Health Worker 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 2019-01-15
1053820266 Tameka Flowers Nurse Practitioner 1719 Dayton Street South, Saint Petersburg, FL 33712 2017-09-20
1871030445 Telesa Andrea Reddick Specialist 1407 22nd Street South, St Pete, FL 33712 2017-01-20
1104286715 Touched By Faith Inc Community/Behavioral Health 2600 4th St, Saint Petersburg, FL 33712 2016-02-25
1457758476 Chris Wendling Pharmacist 2620 Desoto Way S, St Petersburg, FL 33712 2014-11-20
1700217239 Crystal Eva Adult Companion 2132 68th Ter S, St Petersburg, FL 33712 2013-12-10
1144598152 Tien Minh Tran Pharmacist 3350 Central Avenue, St Petersburg, FL 33712 2011-12-05
1588947410 Aru Richardson Counselor 555 31st Street South, Saint Petersburg, FL 33712 2011-09-27
1588990063 Garrett A Babbs Physician Assistant 1344 22nd St South, St Petersburg, FL 33712 2009-10-19
1225216260 Charlie Waller Colquitt Pharmacist 1344 22nd St So, St Petersburg, FL 33712 2008-02-01
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255815460 Kathryn Marcino Nurse Practitioner 10901 Brighton Bay Blvd Ne Apt 3113, St Petersburg, FL 33716-3450 2018-09-24
1962992024 Lauren Elizabeth Oloughlin Nurse Practitioner 1001 37th St N Ste C, St Petersburg, FL 33713 2018-05-15
1487151155 Marathon Health LLC Nurse Practitioner 880 Carillon Pkwy, St Petersburg, FL 33716-1102 2018-04-10
1619417169 Elethia Faith Garvey-morris Nurse Practitioner 901 58th Ave S, St Petersburg, FL 33705-5033 2017-03-02
1346607116 Inna Anderson Nurse Practitioner 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 2016-01-25
1962754531 Edward F Mccullough Nurse Practitioner 2852 66th St N, St Petersburg, FL 33710-3127 2012-10-08
1932451507 Psychiatric Behavioral Services, Inc Nurse Practitioner 6161 Dr Martin L King St N, Ste 102, St Petersburg, FL 33703-1104 2012-10-08
1427321454 Mary M. O'brien Nurse Practitioner 2525 Pasadena Avenue S, Suite 5, St Petersburg, FL 33707-4559 2012-02-22
1295942365 Carolyn Marie Clarke Nurse Practitioner 4131 Central Ave, St Petersburg, FL 33713-8229 2007-05-17
1164582615 Linda Diane Renshaw Nurse Practitioner 3050 1st Ave S, St Petersburg, FL 33712-1010 2006-12-12
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Competitor

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City ST PETERSBURG
Zip Code 33712

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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