Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Paul Reid, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1265951891

Ethan Paul Reid, APRN is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 821-7213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN9283538 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP9283538 (FL)

Record details

NPI number1265951891
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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