Individual provider Active NPI

Sailys Stewart, FNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1407282858
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9299431 Issued in FL
Practice address
4611 Okeechobee Blvd Ste 111
West Palm Beach, FL 33417-4637
Phone
(561) 408-9444
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9299431 FL Primary

Addresses

Primary practice location

4611 Okeechobee Blvd Ste 111
West Palm Beach, FL 33417-4637

Mailing address

4611 Okeechobee Blvd Ste 111
West Palm Beach, FL 33417-4637
Phone (561) 408-9444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000914 FL Practitioner - Nurse Practitioner 3375779077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9299431FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

4611 Okeechobee Blvd
Ste 110
West Palm Beach, FL 33417
Phone (561) 408-9444

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: sailys.stewart.1@32578.direct.athenahealth.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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1407282858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 OKEECHOBEE BLVD STE 111",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174637",
            "telephone_number": "561-408-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 OKEECHOBEE BLVD STE 111",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174637",
            "telephone_number": "561-408-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SAILYS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9299431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.