MR. JOSEPH WARREN VERGE (NPI# 1730449604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730449604 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH WARREN VERGE |
| Credential | ANP |
| Practice Address |
630 Pasadena Ave S St Petersburg FL 33707-2128 |
| Practice Telephone | 7273457100 |
| Practice Fax Number | 7273457102 |
| Mailing Telephone | 7273457100 |
| Mailing Fax Number | 7273457102 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9415612 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304318-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | LMVR5 | 01 |
| FL | 018482700 | 05 |
| Street Address |
630 PASADENA AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33707-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033219316 | Helen Featherston | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2006-09-25 |
| 1780080945 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-11-14 |
| 1295131993 | Samir Klapuh | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-11-07 |
| 1932521127 | Jessica Lee Scott | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-01-08 |
| 1639404601 | Jane L Williams | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2009-10-08 |
| 1407989403 | Meredith Dykes | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-03-13 |
| 1821131962 | John Vincent Murray | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-15 |
| 1063555027 | Jan S Humphreys | Nurse Practitioner | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-15 |
| 1356482095 | Pasadena Family Medical Associates | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-08 |
| 1902946627 | Thomas E Esposito | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 | 33707 |
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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.