Individual provider Active NPI

Stacie Lauro, MD

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1285778944
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME108388 Issued in FL
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

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P010213592OtherEXCELLUS
02409429MedicaidNY
117788EUOtherPREFERRED CARE
003358900MedicaidFL

Other names 1

  • Stacie Lauro Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240709001608 NH Practitioner - Psychiatry 6406748326
I20250806003271 SC Practitioner - Psychiatry 6406748326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108388FLMDPsychiatry Physician
213592NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC Psychiatry CurrentSince Jun 24, 2025 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

Verify at the official NPI Registry.