Stephanie Portillo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9469547 Issued in FL

Practice address

30201 Lettingwell Cir
Wesley Chapel, FL 33543-7830

Phone

(813) 817-8180

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1295497295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30201 LETTINGWELL CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437830",
            "telephone_number": "813-817-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30201 LETTINGWELL CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437830",
            "telephone_number": "813-817-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9469547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjbportillo@bayada.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "30201 Lettingwell Cir",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335437830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pomelo Properties LLC (Haven Landing)
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• Christopher Ponard
• Joy Ponce, M.S.,ED.
• Christopher Poole, RMHCI
• Gilbert Alexander Postler, MD
• Scott Povlak, OTD, OTR/L
• Ariana Powell-Lindo, APRN
• Joseph Austin Powers, DO
• Pramukh Krupa RX LLC (Summergate Pharmacy)

• Registered Nurse in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.