Stephanie Fajardo, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11000311 Issued in FL

Practice address

140 SW 84TH Ave Ste B
Plantation, FL 33324-2736

Phone

(954) 476-2338

NPI assigned

Apr 24, 2019

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guillermo Valenzuela MD PAGroup PAC ID 6507021037, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.fajardo@direct.iris.nextgenshare.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.

• Guillermo Valenzuela MD PA

  • Rheumatology Physician
  • Plantation, FL
  • NPI 1740549260
  Medicare reassignment Care Compare group NPD
• Guillermo Valenzuela, MD,PA

  • Rheumatology Physician
  • Plantation, FL
  • NPI 1134305477
  NPD (past)

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1467016550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW 84TH AVE STE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242736",
            "telephone_number": "954-476-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye C Optometry, Inc.
• Eye Physicians of Florida LLP
• Valerie J Eyma-Heywood, M.D.
• Bryanne Eyma
• Nkiruka Ezenwajiaku, MD
• Hala A Fakhre, MD
• Martha Falconi
• Katherine Adriana Faltot, CRNA
• Famiglia Medical Transport Inc.
• Family Eye Center, Inc.

• Family Nurse Practitioner in Plantation, FL
• Providers in Plantation, 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 4, 2019; 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.