NPIMap

Individual provider Active NPI

Sandra Kay Stapleton, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1104871508
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101188 Issued in FL
Practice address
3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone
(813) 925-1903
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101188 FL Primary

Addresses

Primary practice location

3301 W Gandy Blvd
Tampa, FL 33611-2931

Mailing address

6104 60TH St E
Palmetto, FL 34221-7039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc Physician Assistant CurrentSince Jan 20, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Jan 20, 2021 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jan 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jan 1, 2024 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Braden ER SVCS Partnership LLC Past Accepting new patients
Kemwall Inpatient Services LLC Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Physician Assistant Past Accepting new patients
Baxley Emergency Physicians LLC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 12

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1104871508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 60TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342217039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.