Individual provider Active NPI

Stacy Feemster, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1427454909
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9356006 Issued in FL
Practice address
5735 NE 2ND Ave
Miami, FL 33137-2507
Phone
(305) 792-2090
Fax
(305) 468-6324
NPI assigned
Nov 12, 2014
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002794 NV
Family Nurse Practitioner 363LF0000X NP95011256 CA
Family Nurse Practitioner 363LF0000X ARNP 9356006 FL Primary

Addresses

Primary practice location

5735 NE 2ND Ave
Miami, FL 33137-2507

Mailing address

5735 NE 2ND Ave
Miami, FL 33137-2507
Phone (305) 792-2090

Other practice location 1

2121 E Flamingo Rd Ste 106
Las Vegas, NV 89119-5123
Phone (702) 868-8900

Other practice location 2

8444 Reseda Blvd Ste D
Northridge, CA 91324-5980
Phone (305) 792-2090

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011256CAMDFamily Nurse Practitioner
ARNP 9356006FLMDFamily Nurse Practitioner
APRN002794NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Biocollections Worldwide Inc CurrentSince Jul 17, 2021 Accepting new patients

Locations

5735 NE 2nd Ave
Miami, FL 33137
Phone (305) 792-2090

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, 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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1427454909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372507",
            "telephone_number": "305-792-2090",
            "fax_number": "305-468-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372507",
            "telephone_number": "305-792-2090",
            "fax_number": "305-468-6324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Flamingo Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195123",
            "country_code": "US",
            "telephone_number": "702-868-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8444 Reseda Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913245980",
            "country_code": "US",
            "telephone_number": "305-792-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEEMSTER",
        "first_name": "STACY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9356006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2021; 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.