Active NPI
Kesha L Stevens, M.D.
- Pediatrics Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME123982
- Practice address
- 2201 Cantu CT Ste 117
Sarasota, FL 34232-6254 - Phone
- (941) 552-8341
- NPI assigned
- May 31, 2012
- Last updated
- Aug 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MS24293 | MS | |
| Pediatrics Physician | 208000000X | ME123982 | FL | Primary |
Addresses
Primary practice location
2201 Cantu CT Ste 117
Sarasota, FL 34232-6254
Mailing address
7721 Roma Dune Dr
Wesley Chapel, FL 33545-4881
Phone (901) 212-2950
Other practice location 1
7276 Southcrest Pkwy
Southaven, MS 38671-4760
Phone (662) 349-6577
Other practice location 2
37920 Medical Arts Ct
Zephyrhills, FL 33541
Phone (352) 518-2000
Other practice location 3
5001 E Busch Blvd
Tampa, FL 33617-5303
Phone (813) 984-8846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497016943 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123982 | FL | MD | Pediatrics Physician |
| MS24293 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiss Pediatric Care, LLC | Pediatrics | Past | Accepting new patients |
| Julia Barriga M.D., P.a. | Past | Accepting new patients |
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.
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1942367644
-
- Pediatrics Physician
- Sarasota, FL
- NPI 1063759314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1497016943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7721 ROMA DUNE DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335454881",
"telephone_number": "901-212-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 CANTU CT STE 117",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326254",
"telephone_number": "941-552-8341"
}
],
"practiceLocations": [
{
"address_1": "7276 Southcrest Pkwy",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714760",
"country_code": "US",
"telephone_number": "662-349-6577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37920 Medical Arts Ct",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "33541",
"country_code": "US",
"telephone_number": "352-518-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5001 E Busch Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336175303",
"country_code": "US",
"telephone_number": "813-984-8846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "KESHA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "MS24293",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME123982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497016943",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.