Individual provider Active NPI

Stephanie K O'Bryant, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1346433323
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9315603 Issued in FL
Practice address
16411 Oak Manor Dr
Tampa, FL 33624
Phone
(321) 586-3844
Fax
(813) 436-5294
NPI assigned
Aug 22, 2007
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1440099 WI
Family Nurse Practitioner 363LF0000X 1440099 WI
Family Nurse Practitioner 363LF0000X 9315603 FL Primary

Addresses

Primary practice location

16411 Oak Manor Dr
Tampa, FL 33624

Mailing address

13014 N Dale Mabry Hwy
Tampa, FL 33618-2808
Phone (321) 586-3844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000367 FL Practitioner - Nurse Practitioner 6507951852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner on the Go LLCGroup PAC ID 4183954423, 4 clinicians

Practice addresses (Care Compare)

Tampa, FL 33624
Phone (813) 444-3201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9315603FLMDFamily Nurse Practitioner
1440099WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner on the Go, LLC CurrentSince Mar 15, 2022 Accepting new patients
Anglin Medical PA Past Accepting new patients
Franks Wellness Clinic Inc PastSince Oct 13, 2019 Accepting new patients

Locations

13014 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 215-6275

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1346433323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13014 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182808",
            "telephone_number": "321-586-3844",
            "fax_number": "813-436-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16411 OAK MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "321-586-3844",
            "fax_number": "813-436-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYANT",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1440099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1440099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9315603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.