CALLIE ASHLOCK (NPI# 1104440676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104440676 |
| Entity Type | Individual |
| Full Name | CALLIE ASHLOCK |
| Credential | CNM, APRN |
| Practice Address |
1344 22nd St S St Petersburg FL 33712-2744 |
| Mailing Address |
6069 18th St S St Petersburg FL 33712-4909 |
| Practice Telephone | 7278248181 |
| Mailing Telephone | 6187311746 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11007273 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | APRN11007273 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1344 22ND ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-2744 |
| 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 |
| 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 |
| 1902339518 | Kesha Thomas Williams | Family Medicine | 1344 22nd St S, St Petersburg, FL 33712-2744 | 2017-04-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| 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 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.