Colette Stibich

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

909 Bryan Rd
Brandon, FL 33511-6145

Phone

(813) 693-5101

Fax

(813) 649-8130

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Impact'S Transitional Life-Skill Center Inc

  • Adult Day Care Clinic/Center
  • Brandon, FL
  • NPI 1669992400
  NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1255088035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 ADAGIO LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722721",
            "telephone_number": "813-784-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BRYAN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116145",
            "telephone_number": "813-693-5101",
            "fax_number": "813-649-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIBICH",
        "first_name": "COLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee Stewart, APRN
• Janelle L Stewart
• Laurie Anna Stewart, RBT
• Oliver Stewart, MD
• Sydnie Stewart
• Jason Christopher Stibich, M.D.
• Stillwater Assisted Living, LLC
• Melissa Renee Stilwell
• Stino Therapies
• April Stino

• Day Training/Habilitation Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Day Training/Habilitation Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.