MS. REBECCA JANE SHYTLE APRN NPI 1730390253

NPI Information

NPI: 1730390253
Provider Name: MS. REBECCA JANE SHYTLE, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: AANDM PSYCHIATRIC SERVICES PA

PECOS Registration: Yes

Address:
1938 SOULE RD
CLEARWATER, FL
ZIP 33759
Phone: (727) 726-7442
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MS. Rebecca Jane Shytle, APRN is a psychiatric/mental health nurse practitioner in Clearwater, FL with 19 years of experience. MS. Rebecca Jane Shytle, APRN NPI is 1730390253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1938 SOULE RD
CLEARWATER, FL
ZIP 33759-507
Phone: (727) 726-7442
Fax: (727) 288-1111

The NPI 1730390253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 5/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9190579	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	768338300	MEDICAID	FLORIDA
2	4812791	OTHER	FLORIDA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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