Stacy Ann Bahadur

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9416865 Issued in FL

Practice address

7871 NW 15TH St
Pembroke Pines, FL 33024-5169

Phone

(954) 800-5433

NPI assigned

Nov 18, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1538029863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285937",
            "telephone_number": "954-800-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7871 NW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245169",
            "telephone_number": "954-800-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADUR",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9416865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maka Badridze
• Stephanie Marie Baer
• Daniela Victoria Baez Amador
• Alejandro Jose Baez Gutierrez
• Lila De la Caridad Baez Lopez
• Bahta and Associates Inc
• Irene Fadullon Bahta, MD
• Yemane B Bahta, MD
• Howard I Baikovitz, M.D.
• Tassle Bailey, COTA

• Registered Nurse in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.