Active NPI
Laura Stewart
- Other Technician
- Bartow, FL
National Provider Identifier
1184224636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1255 Golfview Ave
Bartow, FL 33830-6736 - Phone
- (863) 519-0575
- Fax
- (863) 582-9251
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1255 Golfview Ave
Bartow, FL 33830-6736
Mailing address
PO Box 1559
Bartow, FL 33831-1559
Phone (863) 519-0575
Other practice location 1
213 E Orange St
Wauchula, FL 33873-2934
Phone (863) 519-0575
Other practice location 2
950 County Road 17A W
Avon Park, FL 33825-2164
Phone (863) 519-0575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace River Center for Personal Development Inc | Past | Accepting new patients | |
| Peace River Center for Personal Development Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Wauchula, FL
- NPI 1184370504
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bartow, FL
- NPI 1821097767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1184224636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "BARTOW",
"state": "FL",
"postal_code": "338311559",
"telephone_number": "863-519-0575",
"fax_number": "863-582-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 GOLFVIEW AVE",
"city": "BARTOW",
"state": "FL",
"postal_code": "338306736",
"telephone_number": "863-519-0575",
"fax_number": "863-582-9251"
}
],
"practiceLocations": [
{
"address_1": "213 E Orange St",
"address_purpose": "LOCATION",
"city": "Wauchula",
"state": "FL",
"postal_code": "338732934",
"country_code": "US",
"telephone_number": "863-519-0575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 County Road 17A W",
"address_purpose": "LOCATION",
"city": "Avon Park",
"state": "FL",
"postal_code": "338252164",
"country_code": "US",
"telephone_number": "863-519-0575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.