Individual provider Active NPI

Kesha L Stevens, M.D.

  • Pediatrics Physician
  • Sarasota, FL
National Provider Identifier
1497016943
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME123982 Issued in FL
Practice address
2201 Cantu CT Ste 117
Sarasota, FL 34232-6254
Phone
(941) 552-8341
NPI assigned
May 31, 2012
Last updated
Aug 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1497016943MedicaidVA

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

LicenseStateTypeSpecialty
ME123982FLMDPediatrics Physician
MS24293MSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss Pediatric Care, LLC Pediatrics PastSince Aug 25, 2024 Accepting new patients
Julia Barriga M.D., P.a. PastSince Oct 1, 2023 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.

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.

Verify at the official NPI Registry.