Individual provider Active NPI

Stephanie Juliet Stewart, D.P.M.

  • Podiatrist
  • Sarasota, FL
National Provider Identifier
1184665606
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-3139 Issued in FL
Practice address
4801 Swift Rd
Suite F
Sarasota, FL 34231-5139
Phone
(941) 921-3000
Fax
(941) 921-3066
NPI assigned
Jun 8, 2006
Last updated
May 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-3139 FL Primary

Addresses

Primary practice location

4801 Swift Rd
Suite F
Sarasota, FL 34231-5139

Mailing address

4801 Swift Rd
Suite F
Sarasota, FL 34231-5139
Phone (941) 921-3000

Other identifiers 1

IdentifierTypeStateIssuer
50392OtherFLBCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001483 FL Practitioner - Podiatry 7517927718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-3139FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Care, Inc. Podiatrist CurrentSince Jan 1, 2006 Accepting new patients
KG Health Partners, Inc Podiatrist PastSince Nov 5, 2012 Accepting new patients
Advanced Foot & Ankle Center Inc PastSince Dec 1, 2020 Accepting new patients

Locations

4801 Swift Rd
Ste F
Sarasota, FL 34231
Phone (941) 921-3000

Interoperability endpoints

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

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1184665606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SWIFT RD",
            "address_2": "SUITE F",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315139",
            "telephone_number": "941-921-3000",
            "fax_number": "941-921-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SWIFT RD",
            "address_2": "SUITE F",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342315139",
            "telephone_number": "941-921-3000",
            "fax_number": "941-921-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "STEPHANIE",
        "middle_name": "JULIET",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.