Individual provider Active NPI

Christina Duckworth Stelton, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Venice, FL
National Provider Identifier
1023334976
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME126862 Issued in FL
Practice address
446 Tamiami TRL S
#2
Venice, FL 34285-2630
Phone
(941) 483-3319
NPI assigned
Apr 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME126862 FL Primary

Addresses

Primary practice location

446 Tamiami TRL S
#2
Venice, FL 34285-2630

Mailing address

PO Box 3093
Boca Raton, FL 33431-0993
Phone (941) 745-7311

Other identifiers 1

IdentifierTypeStateIssuer
017044900MedicaidFL

Other names 1

  • Christina Beatriz Duckworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719001168 FL Practitioner - PathologyPractitioner - Other (Physician) 0547553208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Pathology Associates, PAGroup PAC ID 6002839933, 5 clinicians

Practice addresses (Care Compare)

206 2ND St E
Bradenton, FL 34208-1042
Phone (941) 746-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1023334976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3093",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334310993",
            "telephone_number": "941-745-7311",
            "fax_number": "941-745-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 TAMIAMI TRL S",
            "address_2": "#2",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852630",
            "telephone_number": "941-483-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELTON",
        "first_name": "CHRISTINA",
        "middle_name": "DUCKWORTH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-18",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME126862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017044900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DUCKWORTH",
            "middle_name": "BEATRIZ",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.