Organization Active NPI

Heather Stanley-Christian, MD PA

  • Maternal & Fetal Medicine Physician
  • Clermont, FL
National Provider Identifier
1508421660
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
HEATHER STANLEY-CHRISTIAN, MD PA
Practice address
17323 Pagonia Dr Ste 227
Clermont, FL 34711-5997
Phone
(352) 404-5544
Fax
(352) 404-5912
NPI assigned
May 4, 2019
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Heather Stanley-Christian, MDNPI 1306818133
Title
Owner / Medical Director
Phone
(352) 404-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X NU
Maternal & Fetal Medicine Physician 207VM0101X NU Primary

Addresses

Primary practice location

17323 Pagonia Dr Ste 227
Clermont, FL 34711-5997

Mailing address

17323 Pagonia Dr Ste 227
Clermont, FL 34711-5997
Phone (352) 404-5544

Other identifiers 1

IdentifierTypeStateIssuer
100427600MedicaidFL

National Provider Directory

National Provider Directory

Locations

17323 Pagonia Rd
Ste 227
Clermont, FL 34711
Phone (352) 404-5544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1508421660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17323 PAGONIA DR STE 227",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115997",
            "telephone_number": "352-404-5544",
            "fax_number": "352-404-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 PAGONIA DR STE 227",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115997",
            "telephone_number": "352-404-5544",
            "fax_number": "352-404-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER STANLEY-CHRISTIAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "STANLEY-CHRISTIAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-404-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100427600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.