Individual provider Active NPI

Stephanie Hires Malik, FNP-C

  • Family Nurse Practitioner
  • Apollo Beach, FL
National Provider Identifier
1124536438
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030403 Issued in FL
Practice address
230 Harbor Village LN
Apollo Beach, FL 33572-3424
Phone
(813) 645-2003
NPI assigned
Jan 21, 2018
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018398 PA
Family Nurse Practitioner 363LF0000X APRN11030403 FL Primary

Addresses

Primary practice location

230 Harbor Village LN
Apollo Beach, FL 33572-3424

Mailing address

8676 Canyon Creek TRL
Parrish, FL 34219-1367
Phone (610) 304-3169

Other practice location 1

9400 San Jose Blvd
Howey IN The Hills, FL 34737-5012
Phone (352) 409-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180417001544 PA Practitioner - Nurse Practitioner 3678836020 Reassigns benefits to 2 organizations
I20250403000824 FL Practitioner - Nurse Practitioner 3678836020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Preferred FL 2 PLLCGroup PAC ID 8426588708, 11 clinicians
Freedom Health and Wellness LLCGroup PAC ID 0345425856, 3 clinicians

Practice addresses (Care Compare)

Seminole, FL 33777
Phone (615) 499-3165

9400 San Jose Blvd
Howey in the Hills, FL 34737-5012
Phone (352) 409-4404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of Pennsylvania LLC CurrentSince Sep 15, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Jun 7, 2022 Accepting new patients
Freedom Health and Wellness LLC CurrentSince Jun 22, 2025 Accepting new patients
Transitions Healthcare LLC CurrentSince Mar 7, 2025 Accepting new patients
Suncoast Optimal Wellness PastSince Jun 3, 2025 Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

L2540
Columbus, OH 43260

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

8100 Washington Ln
Wyncote, PA 19095
Phone (215) 576-8000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1124536438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8676 CANYON CREEK TRL",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342191367",
            "telephone_number": "610-304-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HARBOR VILLAGE LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723424",
            "telephone_number": "813-645-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Howey IN The Hills",
            "state": "FL",
            "postal_code": "347375012",
            "country_code": "US",
            "telephone_number": "352-409-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "STEPHANIE",
        "middle_name": "HIRES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018398",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.