Individual provider Active NPI

Stephanie Marie Arreola, RN, ARNP, AGPCNP-C

  • Nurse Practitioner
  • Parrish, FL
National Provider Identifier
1194359554
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11017400 Issued in FL
Practice address
6006 Bella Rd
Parrish, FL 34219-8619
Phone
(941) 545-7479
NPI assigned
Feb 25, 2020
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11017400 FL Primary
Critical Care Medicine Registered Nurse 163WC0200X 9309820 FL

Addresses

Primary practice location

6006 Bella Rd
Parrish, FL 34219-8619

Mailing address

6006 Bella Rd
Parrish, FL 34219-8619
Phone (941) 545-7479

Other names 1

  • Mrs. Stephanie Marie Arreola Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL stephmarie1016@gmail.com

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
I20220211001555 FL Practitioner - Nurse Practitioner 9638562762 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9309820FLMDCritical Care Medicine Registered Nurse
11017400FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellenton Family Practice Direct PLLC CurrentSince Jan 10, 2022 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

907 25th Dr E
Ellenton, FL 34222
Phone (941) 417-7386

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13889/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.arreola.1@13889.direct.athenahealth.com

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, 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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1194359554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 BELLA RD",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198619",
            "telephone_number": "941-545-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 BELLA RD",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198619",
            "telephone_number": "941-545-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREOLA",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, ARNP, AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11017400",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9309820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stephmarie1016@gmail.com",
            "affiliation": "N",
            "address_1": "6006 Bella Rd",
            "city": "Parrish",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342198619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ARREOLA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Parrish, FL

Sources for this page

Verify at the official NPI Registry.