Stephanie Lynn Butler McKillop, ARNP-BC, CCRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9277500 Issued in FL

Practice address

602 S Audubon Ave Ste B
Tampa, FL 33609-4217

Phone

(813) 400-1629

NPI assigned

Jun 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• South Tampa Cardiology LLC

  • Cardiovascular Disease Physician
  • Tampa, FL
  • NPI 1841745718
  Medicare reassignment

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1023546140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18487 WHYTELEAFE CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388184",
            "telephone_number": "402-617-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S AUDUBON AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094217",
            "telephone_number": "813-400-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN BUTLER",
        "credential": "ARNP-BC, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9277500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick James McKeon II, PHARMD.
• Theresa McKeon, CRNA
• Peter B McKernan, MD, DDS
• Rosalind McKever
• Chante McKie
• Jamie McKimmy
• Helena McKinley, MS CCC-SLP
• Ursula Kaethe McKinley
• Mary Carole McKinney-St. Felix, PHARMD
• Deja R McKinney

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.