Kettlyne Stcyr

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000307 Issued in FL

Practice address

1021 Ives Dairy Rd Ste 115
Miami, FL 33179-2537

Phone

(954) 483-9664

Fax

(954) 281-5881

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, ID, WV, IA, OH5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Forefront Telecare Medical Services PCGroup PAC ID 0446668826, 13 clinicians

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kettlyne.stcyr.1@24287.direct.athenahealth.com

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Forefront Telecare Medical Services PC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1629698766
  Medicare reassignment Care Compare group NPD
• Indian River Health Services Inc

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment Care Compare group
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  Family Medicine, ID, WV

  Medicare reassignment NPD
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612

  FL, IA, ID

  Medicare reassignment NPD
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  OH

  Medicare reassignment NPD
• Princeton Community Hospital Assn Inc.

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  Medicare reassignment NPD
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur D Alene, ID
  • NPI 1174661151
  NPD
• Princeton Community Hospital Assn., Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Banyan Treatment and Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Pompano Beach, FL
  • NPI 1598192460
  NPD (past)
• Center for Alcohol and Drug Studies, LLC.

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1801227046
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1427529759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 LANTANA RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636915",
            "telephone_number": "561-790-8072",
            "fax_number": "561-966-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "954-483-9664",
            "fax_number": "954-281-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STCYR",
        "first_name": "KETTLYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "79197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stay Medical Inc
• Stay the Course Enterprise LLC
• Staywell Alf LLC
• Staywell RX Pharmacy LLC
• Staywell RX Pharmacy LLC
• Lafanne Steadman, CRTT
• Steady Steps Behavioral Therapy LLC
• Sienna Steckel, MD
• Heather C. Steckenrider, MD
• Jamie Steckler, PA-C, MMS

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, 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 Jul 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.