Staci Lynne Hovitch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2856 Issued in FL

Practice address

773 4TH Ave N
Naples, FL 34102-5778

Phone

(239) 775-3535

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Staci Lynne Reagan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346328739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 4TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025778",
            "telephone_number": "239-775-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 4TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025778",
            "telephone_number": "239-775-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVITCH",
        "first_name": "STACI",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "REAGAN",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Houk, M.D.
• Nicole Courtney Houser, PA
• Crista R Hover, P.A.-C.
• Allen C. Hoverson III, DC
• Darin Hovis, ATC
• Corey Lee Howard, MD
• Dulceamanda Howard
• Monica Howard, NP
• Ronald E Howard Jr., MD
• Travis Howard, MD

• Medical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.