Individual provider Active NPI

Antoinette Stair, FNP-C

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1063968725
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9175951 Issued in FL
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(561) 472-1272
Fax
(561) 721-1009
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9175951 FL Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

1309 N. Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 472-1272

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727000127 FL Practitioner - Nurse Practitioner 1153724380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 472-1272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9175951FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Jul 1, 2021 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jul 1, 2021 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients

Locations

21020 State Road 7
Ste 100
Boca Raton, FL 33428
Phone (561) 472-0065

3651 Fau Blvd
Ste 100
Boca Raton, FL 33431
Phone (561) 347-8001

2301 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 737-2339

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

225 Chimney Corner Ln
Ste 1011
Jupiter, FL 33458
Phone (561) 275-1820

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3343 S State Road 7
Wellington, FL 33449
Phone (561) 795-8945

10335 N Military Trl
Ste C
West Palm Beach, FL 33410
Phone (561) 624-1717

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

10141 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 439-1500

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1063968725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N. FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-472-1272",
            "fax_number": "561-721-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-472-1272",
            "fax_number": "561-721-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIR",
        "first_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9175951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.