Active NPI
Stephanie Paillant, APRN
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1013065408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11034464
- Practice address
- 10944 SW 138TH CT
Miami, FL 33186 - Phone
- (617) 308-1973
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9360447 | FL | |
| Licensed Practical Nurse | 164W00000X | 67572 | MA | |
| Family Nurse Practitioner | 363LF0000X | 11034464 | FL | Primary |
Addresses
Primary practice location
10944 SW 138TH CT
Miami, FL 33186
Mailing address
1640 NE 37TH Ave
Homestead, FL 33033-5668
Phone (617) 308-1973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9360447 | FL | MD | Registered Nurse |
| 67572 | MA | MD | Licensed Practical Nurse |
| 11034464 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1013065408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 NE 37TH AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335668",
"telephone_number": "617-308-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10944 SW 138TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "33186",
"telephone_number": "617-308-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAILLANT",
"first_name": "STEPHANIE",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9360447",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "67572",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11034464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.