Quaycian Janae Stewart-Kodadar, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11024205 Issued in FL

Practice address

2345 Sand Lake Rd Ste 200
Orlando, FL 32809-9140

Phone

(407) 851-5121

NPI assigned

Feb 13, 2023

Last updated

Feb 13, 2023By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orlando Psychiatric Associates Inc.Group PAC ID 1153367545, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orlando Psychiatric Associates Inc.

  dba OPA Behavioral Health Inc.

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1528172731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1265139828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12077 PIONEERS WAY APT 3315",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328322822",
            "telephone_number": "516-870-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328099140",
            "telephone_number": "407-851-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-KODADAR",
        "first_name": "QUAYCIAN",
        "middle_name": "JANAE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11024205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Burt Steward IV, PA-C
• Hunter Kane Steward, MD
• Katherine Marie Steward, APRN
• Michelle Dorene Steward, RN
• Stewart M. Dobbins II MD, PA (Hunters Creek Pediatrics)
• Brielle Stewart
• Bryan Keith Stewart, PA-C
• Chantilee Stewart
• Charlotte Langam Stewart, PT
• Christen Noel Stewart, PT. DPT

• Psychiatric/Mental Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.