Dedra L Stone, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11013963 Issued in FL

Practice address

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170

Phone

(386) 615-0900

Fax

(386) 615-0902

NPI assigned

Jul 11, 2021

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians

HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• HMV Diagnostics

  dba Diagnostic Medical Testing Inc

  • Clinic/Center
  • Holiday, FL
  • NPI 1043460744
  Medicare reassignment Care Compare group
• Advanced Sleep and Respiratory Institute, P.a.

  • Sleep Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1790081321
  Medicare reassignment NPD
• Home Medical Visits, Inc

  • Clinic/Center
  • Holiday, FL
  • NPI 1639121080

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1073185070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175170",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175170",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Clipper Ct",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320806553",
            "country_code": "US",
            "telephone_number": "352-275-7829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Pine Cone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378684",
            "country_code": "US",
            "telephone_number": "386-585-4463",
            "fax_number": "386-585-4482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4883 Palm Coast Pkwy NW Unit 5",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373675",
            "country_code": "US",
            "telephone_number": "386-585-4463",
            "fax_number": "386-585-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "DEDRA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-11",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ruth Stockdale
• Ebony Stokes, NP
• Marcus Stokes
• Elizabeth Stoklosa, PA
• Laura Anne Stonaker, PA.C
• Jennifer Stone, B.A.
• Melvin Stone, M.D.
• Samantha Stone
• Steven Stone, PA-C
• Donald J. Stoner, MD

• Nurse Practitioner in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.