Active NPI
Kay Louise Stump, ARNP
- Pediatric Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1326186305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP 1336042
- Practice address
- 1862 Rye Rd
Suite101
Bradenton, FL 34212-9038 - Phone
- (941) 755-7000
- Fax
- (941) 755-7088
- NPI assigned
- Feb 2, 2007
- Last updated
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP 1336042 | FL | Primary |
Addresses
Primary practice location
1862 Rye Rd
Suite101
Bradenton, FL 34212-9038
Mailing address
5255 Office Park Blvd
Suite110
Bradenton, FL 34203-3443
Phone (941) 755-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302740600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 1336042 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federico a. Frias MD PA | Past | Accepting new patients | |
| Federico a. Frias MD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1326186305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 OFFICE PARK BLVD",
"address_2": "SUITE110",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342033443",
"telephone_number": "941-755-7000",
"fax_number": "941-209-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 RYE RD",
"address_2": "SUITE101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342129038",
"telephone_number": "941-755-7000",
"fax_number": "941-755-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "KAY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP 1336042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302740600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.