Active NPI
Stacy Jo McLeod, MSN, APRN, FNP-BC
- Nurse Practitioner
- Land O Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11023192
- Practice address
- 2100 Via Bella Blvd Ste 207
Land O Lakes, FL 34639-5429 - Phone
- (813) 528-4960
- Fax
- (813) 355-5088
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023192 | FL | |
| Nurse Practitioner | 363L00000X | APRN11023192 | FL | Primary |
Addresses
Primary practice location
2100 Via Bella Blvd Ste 207
Land O Lakes, FL 34639-5429
Mailing address
38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (352) 567-0188
Other practice location 1
38548 6th Ave
Zephyrhills, FL 33542-4343
Phone (813) 312-4271
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11023192 | FL | MD | Nurse Practitioner |
| 11023192 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients |
Locations
3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- smcleod276324@direct.tgh.org
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
- General Practice Physician
- Tampa, FL
- NPI 1093233967
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1235840240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38135 MARKET SQUARE DR",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335427505",
"telephone_number": "352-567-0188",
"fax_number": "813-355-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 VIA BELLA BLVD STE 207",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346395429",
"telephone_number": "813-528-4960",
"fax_number": "813-355-5088"
}
],
"practiceLocations": [
{
"address_1": "38548 6th Ave",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335424343",
"country_code": "US",
"telephone_number": "813-312-4271",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLEOD",
"first_name": "STACY",
"middle_name": "JO",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023192",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11023192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.