Active NPI
Stephanie Dyal Cooke, ARNP
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1245699297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9342976
- Practice address
- 909 N Dale Mabry Hwy
Tampa, FL 33609-1251 - Phone
- (813) 978-9700
- Fax
- (813) 558-6186
- NPI assigned
- Feb 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9342976 | FL | Primary |
Addresses
Primary practice location
909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Other practice location 1
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700 ext. 7646
Other names 1
- Stephanie Renee Dyal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurospa TMS LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1265043434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245699297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370925",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091251",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6186"
}
],
"practiceLocations": [
{
"address_1": "13020 N Telecom Pkwy",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336370925",
"country_code": "US",
"telephone_number": "813-978-9700 x7646",
"fax_number": "813-558-6186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOKE",
"first_name": "STEPHANIE",
"middle_name": "DYAL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9342976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DYAL",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.