Individual provider Active NPI

Stephanie Marquette, NP

  • Emergency Medicine Physician
  • Bradenton, FL
National Provider Identifier
1083472187
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11030887 Issued in FL
Practice address
206 2ND St E
Bradenton, FL 34208-1042
Phone
(727) 519-5179
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11030887 FL Primary

Addresses

Primary practice location

206 2ND St E
Bradenton, FL 34208-1042

Mailing address

8720 Sunshower PL
Parrish, FL 34219-1357
Phone (727) 519-5179

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
I20240808000999 FL Practitioner - Nurse Practitioner 4486191467 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030887FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance LLC Emergency Medicine CurrentSince Jun 26, 2024 Accepting new patients

Locations

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

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

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

7 Easton Oval
#L4387
Columbus, OH 43219

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1083472187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 SUNSHOWER PL",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342191357",
            "telephone_number": "727-519-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 2ND ST E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081042",
            "telephone_number": "727-519-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUETTE",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "11030887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.