Active NPI
Stacie Lauro, MD
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1285778944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME108388
- Practice address
- 3923 W Leona St
Tampa, FL 33629-7825 - Phone
- (813) 944-8226
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 213592 | NY | |
| Psychiatry Physician | 2084P0800X | ME108388 | FL | Primary |
Addresses
Primary practice location
3923 W Leona St
Tampa, FL 33629-7825
Mailing address
3923 W Leona St
Tampa, FL 33629-7825
Phone (813) 944-8226
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010213592 | Other | EXCELLUS | |
| 02409429 | Medicaid | NY | |
| 117788EU | Other | PREFERRED CARE | |
| 003358900 | Medicaid | FL |
Other names 1
- Stacie Lauro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108388 | FL | MD | Psychiatry Physician |
| 213592 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Region Psychiatry Associates LLC | Psychiatry | Current | Accepting new patients |
Locations
233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188
1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
Networks
- Freedom Health HMO Network
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1285778944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 W LEONA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297825",
"telephone_number": "813-944-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3923 W LEONA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297825",
"telephone_number": "813-944-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURO",
"first_name": "STACIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "213592",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME108388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010213592",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02409429",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "117788EU",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003358900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACIE",
"last_name": "LAURO",
"credential": "MD",
"code": "2",
"type": "Professional 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 Dec 19, 2018; 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.