Provider Demographics
NPI:1174250336
Name:NP CARE CLINIC
Entity type:Organization
Organization Name:NP CARE CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN-C
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCKELKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:863-333-8376
Mailing Address - Street 1:2519 N MCMULLEN BOOTH RD # 510-111
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-4173
Mailing Address - Country:US
Mailing Address - Phone:863-333-8376
Mailing Address - Fax:863-617-9876
Practice Address - Street 1:2519 N MCMULLEN BOOTH RD # 510-111
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-4173
Practice Address - Country:US
Practice Address - Phone:863-333-8376
Practice Address - Fax:863-617-9876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-06
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care