NPIMap

Individual provider Active NPI

Donna L Stephens, M.D.

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1376529503
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME88883 Issued in FL
Practice address
2815 First Avenue North
St Petersburg, FL 33713-8603
Phone
(727) 321-9614
Fax
(737) 323-7068
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME88883 FL
Family Medicine Physician 207Q00000X ME88883 FL Primary

Addresses

Primary practice location

2815 First Avenue North
St Petersburg, FL 33713-8603

Mailing address

2815 First Avenue North
St Petersburg, FL 33713-8603
Phone (727) 321-9614

Other identifiers 1

IdentifierTypeStateIssuer
270509500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000957 FL Practitioner - Family Practice 3274511654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
E and S Family Medicine PhysiciansGroup PAC ID 9234117607, 3 clinicians

Practice addresses (Care Compare)

2815 1St Ave N
St Petersburg, FL 33713-8641
Phone (727) 321-9614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME88883FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
E & S Family Medicine Physicians Family Medicine CurrentSince Jul 15, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2815 1st Ave N
St Petersburg, FL 33713
Phone (727) 321-9614

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1376529503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 FIRST AVENUE NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138603",
            "telephone_number": "727-321-9614",
            "fax_number": "727-323-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 FIRST AVENUE NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138603",
            "telephone_number": "727-321-9614",
            "fax_number": "737-323-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DONNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270509500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.