Individual provider Active NPI

Stephanie Grove, FNP

  • Women's Health Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1295980365
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9396058 Issued in FL
Practice address
2310 60TH Street CT W
Bradenton, FL 34209-6609
Phone
(941) 792-4993
Fax
(941) 795-2905
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-001461 IL
Women's Health Nurse Practitioner 363LW0102X ARNP9396058 FL Primary

Addresses

Primary practice location

2310 60TH Street CT W
Bradenton, FL 34209-6609

Mailing address

2310 60TH Street CT W
Bradenton, FL 34209-6609
Phone (941) 792-4993

Other practice location 1

18 S Michigan Ave
6th Fl
Chicago, IL 60603-3200
Phone (312) 592-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-001461ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Gynecology LLC CurrentSince Feb 19, 2018 Accepting new patients

Locations

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD

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": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295980365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609",
            "telephone_number": "941-792-4993",
            "fax_number": "941-795-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609",
            "telephone_number": "941-792-4993",
            "fax_number": "941-795-2905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 S Michigan Ave",
            "address_2": "6th Fl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033200",
            "country_code": "US",
            "telephone_number": "312-592-6800",
            "fax_number": "312-592-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-001461",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9396058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.