Individual provider Active NPI

Odett R Stanley-Brown, MD

  • Pediatrics Physician
  • Lady Lake, FL
National Provider Identifier
1396791877
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME59781 Issued in FL
Practice address
918 Rolling Acres Rd Ste 4
Lady Lake, FL 32159-5026
Phone
(352) 831-7675
Fax
(352) 707-3023
NPI assigned
May 26, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME59781 FL
Pediatrics Physician 208000000X ME59781 FL Primary

Addresses

Primary practice location

918 Rolling Acres Rd Ste 4
Lady Lake, FL 32159-5026

Mailing address

918 Rolling Acres Rd Ste 4
Lady Lake, FL 32159-5026
Phone (352) 831-7675

Other identifiers 1

IdentifierTypeStateIssuer
270854000MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129001676 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3577613959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59781FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Health of Ocala Pediatrics Past Accepting new patients
We Fit Kids, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ostanleybrown5974@direct.nemours.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1396791877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD STE 4",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595026",
            "telephone_number": "352-831-7675",
            "fax_number": "352-707-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 ROLLING ACRES RD STE 4",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595026",
            "telephone_number": "352-831-7675",
            "fax_number": "352-707-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY-BROWN",
        "first_name": "ODETT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME59781",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270854000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.