Andrea Chance Stark, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN2587202 Issued in FL

Practice address

13475 Southern Blvd Ste 202
Loxahatchee, FL 33470-9234

Phone

(561) 509-5009

Fax

(561) 798-2733

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.stark.1@17796.direct.athenahealth.com

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.

• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1346209244
  NPD
• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Loxahatchee Groves, FL
  • NPI 1629259072
  NPD
• Palm Beach Pediatrics, LLC

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1528249976
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1194727644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD STE 901",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096506",
            "telephone_number": "561-509-5009",
            "fax_number": "561-738-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709234",
            "telephone_number": "561-509-5009",
            "fax_number": "561-798-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "ANDREA",
        "middle_name": "CHANCE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ARNP 2587202",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN2587202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304660500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Office Solutions Florida, LLC
• Specialty Care LLC
• Heidi Elaine Spirazza, OTR
• Sridivya Srinivasan, MD
• Nicolas Stalnaker
• Ira Michael Stein, M.D.
• Heather Stetson, RN
• Alejandra Pozzo Stevenson, APRN
• Tara L Stock, DO
• Michele Stolper, LICSW

• Pediatric Nurse Practitioner in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.