Angela Kathleen Stalvey, ARNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9251760 Issued in FL

Practice address

4203 Belfort Rd
Suite 204
Jacksonville, FL 32216-1471

Phone

(904) 296-5688

Fax

(904) 296-5699

NPI assigned

Apr 17, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1386887560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161471",
            "telephone_number": "904-296-5688",
            "fax_number": "904-296-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 BELFORT RD",
            "address_2": "SUITE 204",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161471",
            "telephone_number": "904-296-5688",
            "fax_number": "904-296-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALVEY",
        "first_name": "ANGELA",
        "middle_name": "KATHLEEN",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9251760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equilla Katrice Stallworth, LPN
• Shanika Stallworth, CNA
• Cecelia A Stalnaker-Cauwenberghs, LMHC
• Zachary Winfield Stalnaker, D.C., B.S.B.A.
• Mackenzie Stalter
• Bryan Andrew Stam, O.D.
• James A Staman, MD
• Jonathan A Staman, M.D.
• Kelsey Elizabeth Stambaugh, PT
• Natalie M Stamey, PSY D

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.