Individual provider Active NPI

Stephanie Anderson, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1114386661
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9307059 Issued in FL
Practice address
7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134
Phone
(727) 480-0387
NPI assigned
Feb 12, 2016
Last updated
May 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 ARNP9307059 FL Primary

Addresses

Primary practice location

7855 38TH Ave N Ste 200
St Petersburg, FL 33710-1134

Mailing address

PO Box 7843
Clearwater, FL 33758-7843
Phone (727) 480-0387

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
I20160322001827 FL Practitioner - Nurse Practitioner 0749587558

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7855 38TH Ave N
Suite 200
St Petersburg, FL 33710-1134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9307059FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moss Restorative Foot & Ankle Center, PLLC CurrentSince Jan 10, 2021 Accepting new patients
Gulf Coast Family Wellness LLC Family CurrentSince Feb 1, 2021 Accepting new patients
SC Physicians LLC Past Accepting new patients

Locations

7855 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 302-9500

Interoperability endpoints

  • Direct secure messaging: stephanie.anderson@610837535391748.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1114386661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7843",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337587843",
            "telephone_number": "727-480-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 38TH AVE N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101134",
            "telephone_number": "727-480-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9307059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.