Active NPI
Stephanie R Giovonti, PA
- Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1366773475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9105346
- Practice address
- 14050 NW 14TH St
Suite 190
Fort Lauderdale, FL 33323 - Phone
- (954) 475-1300
- Fax
- (954) 424-3270
- NPI assigned
- Jan 29, 2010
- Last updated
- Dec 16, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9105346 | FL | Primary |
Addresses
Primary practice location
14050 NW 14TH St
Suite 190
Fort Lauderdale, FL 33323
Mailing address
19724 Tesoro Way
Fort Myers, FL 33967-5683
Phone (239) 989-9191
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9105346 | FL | MD | Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1174991632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1366773475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19724 TESORO WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339675683",
"telephone_number": "239-989-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14050 NW 14TH ST",
"address_2": "SUITE 190",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33323",
"telephone_number": "954-475-1300",
"fax_number": "954-424-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOVONTI",
"first_name": "STEPHANIE",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9105346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Julia Paige Ginter, CCC-SLP
- Diana Yvonne Gintner, FL: LCSW & SC PSYCH
- Giordan Weiss Dba Better Hearing-World of Sounds (Better Hearing-World of Sounds)
- Giordan-Weiss, Inc. (Better Hearing World of Sounds)
- Angelo Giordanelli
- Tammy Ward Gipps
- Veronica Silvia Gipps, MD
- Aquilla Gipson
- Andrea Giraldo, DMD
- Peter Girgis, MD PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.