Sunnyside Wellness
NPI 1063286813 · Psychiatric/Mental Health Nurse Practitioner · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunnyside Wellness is a Psychiatric/Mental Health Nurse Practitioner organization in St Petersburg, FL (NPI 1063286813).
Provider details
- NPI number
- 1063286813
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Courtney Tibbetts, Owner(813) 298-9305
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Frequently asked questions
- What is Sunnyside Wellness's NPI number?
- Sunnyside Wellness's National Provider Identifier (NPI) is 1063286813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunnyside Wellness?
- Sunnyside Wellness is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sunnyside Wellness located?
- Sunnyside Wellness's practice location on file with NPPES is 7901 4th St N Ste 300, St Petersburg, FL 33702-4399.
- What is Sunnyside Wellness's phone number?
- The practice phone number listed in the NPPES registry for Sunnyside Wellness is (813) 508-8187.
- Does Sunnyside Wellness accept Medicare?
- Sunnyside Wellness is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sunnyside Wellness?
- The authorized official listed on Sunnyside Wellness's NPPES record is Courtney Tibbetts, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunnyside Wellness's NPI active?
- Yes — Sunnyside Wellness's NPI (1063286813) is active in the NPPES registry as of the last update on 2024-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.