NPIMap

Organization Active NPI

Quantum Practitioner Services LLC

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1194426197
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QUANTUM PRACTITIONER SERVICES LLC
Practice address
6547 Kenava Loop
Palmetto, FL 34221-2595
Phone
(941) 285-9062
Fax
(208) 408-6298
NPI assigned
Mar 15, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Alexander Stephens, APRNNPI 1811659758
Title
Owner
Phone
(941) 285-9062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6547 Kenava Loop
Palmetto, FL 34221-2595

Mailing address

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 285-9062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230504001086 FL Part B Supplier - Clinic/Group Practice 7214392810 Receives reassigned benefits from 37 practitioners
Practice locations: Palmetto, FL
O20241113000490 TX Part B Supplier - Clinic/Group Practice 7214392810 Receives reassigned benefits from 7 practitioners
Practice locations: Dallas, TX
O20251218002852 TN Part B Supplier - Clinic/Group Practice 7214392810 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

222 2nd Ave S
Ofc
Nashville, TN 37201
Phone (866) 686-8862

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1194426197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 KENAVA LOOP",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212595",
            "telephone_number": "941-285-9062",
            "fax_number": "208-408-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6547 KENAVA LOOP",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212595",
            "telephone_number": "941-285-9062",
            "fax_number": "208-408-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM PRACTITIONER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-285-9062",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.