STEFANIE MARIE INDELLICATI (NPI# 1285188219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285188219 |
| Entity Type | Individual |
| Full Name | STEFANIE MARIE INDELLICATI |
| Credential | PA-C |
| Practice Address |
603 7th St S Suite 360 St Petersburg FL 33701-4719 |
| Mailing Address |
3627 Trimaran Pl Tampa FL 33607-5837 |
| Practice Telephone | 7275537300 |
| Mailing Telephone | 3528120102 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAT 9109630 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
603 7TH ST S SUITE 360 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208523 | Molly M Long | Obstetrics & Gynecology | 603 7th St S, Suite 300, St Petersburg, FL 33701-4719 | 2005-10-10 |
| 1144855883 | Tanya Askif | Nurse Practitioner | 603 7th St S, St Petersburg, FL 33701-4719 | 2020-03-03 |
| 1316497613 | Lindsay Armstrong | Physician Assistant | 603 7th St S, St Petersburg, FL 33701-4719 | 2016-10-11 |
| 1184073371 | Bayfront Health | General Acute Care Hospital | 603 7th St S, #500, St Petersburg, FL 33701-4719 | 2016-06-08 |
| 1740639160 | Christina Ann Carlee | Surgery | 603 7th St S, Suite 500, St Petersburg, FL 33701-4719 | 2016-06-07 |
| 1407200108 | Nicholas Caswell | Physician Assistant | 603 7th St S, Suite 540, St Petersburg, FL 33701-4719 | 2016-04-19 |
| 1922481399 | Bayfront Health | Nurse Practitioner | 603 7th St S, Ste 500, St Petersburg, FL 33701-4719 | 2015-07-03 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1477895761 | Abigail Shniter Blackman | Emergency Medicine | 603 7th St S, Suite 360, St Petersburg, FL 33701-4719 | 2013-03-25 |
| 1932460714 | Jason Michael Manzella | Emergency Medicine | 603 7th St S, Suite 360, St Petersburg, FL 33701-4719 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
| 1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
| 1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
| 1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
| 1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
| 1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
| 1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
| 1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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| 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.