Individual provider Active NPI

Stephanie Rose Navarro, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1366987240
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110105 Issued in FL
Practice address
1150 Campo Sano Ave FL 3
Miami, FL 33146-1174
Phone
(786) 268-6200
Fax
(786) 533-9978
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9110105 FL Primary

Addresses

Primary practice location

1150 Campo Sano Ave FL 3
Miami, FL 33146-1174

Mailing address

1481 NE Miami Gardens Dr Apt 164
Miami, FL 33179-4803
Phone (786) 412-1169

Other practice location 1

13101 S Dixie Hwy Ste 400
Pinecrest, FL 33156-6530
Phone (786) 467-5753

Other names 1

  • Stephanie Rose Hudak Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110105FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC PastSince Jul 31, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanien@cerner.directbaptisthealth.com

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1366987240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 NE MIAMI GARDENS DR APT 164",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794803",
            "telephone_number": "786-412-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "786-268-6200",
            "fax_number": "786-533-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13101 S Dixie Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331566530",
            "country_code": "US",
            "telephone_number": "786-467-5753",
            "fax_number": "786-533-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-10-17",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HUDAK",
            "middle_name": "ROSE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.