Organization Active NPI

Stankus Family Care

  • General Practice Physician
  • High Springs, FL
National Provider Identifier
1215535794
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STANKUS FAMILY CARE
Practice address
18743 NW 234TH St
High Springs, FL 32643-0465
Phone
(352) 214-5807
NPI assigned
Oct 15, 2020
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Joseph Stankus, APRNNPI 1629471818
Title
Owner
Phone
(352) 214-5807

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

18743 NW 234TH St
High Springs, FL 32643-0465

Mailing address

18743 NW 234TH St
High Springs, FL 32643-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130002221 FL Part B Supplier - Clinic/Group Practice 3971914755 Receives reassigned benefits from 4 practitioners
Practice locations: High Springs, FL

National Provider Directory

National Provider Directory
Tax ID family
Stankus Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFDCD

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1215535794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18743 NW 234TH ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18743 NW 234TH ST",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430465",
            "telephone_number": "352-214-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANKUS FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "STANKUS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-214-5807",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.