Individual provider Active NPI

Pamela A Stephens, CNM ARNP

  • Advanced Practice Midwife
  • Tampa, FL
National Provider Identifier
1578504163
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP1079232 Issued in FL
Practice address
1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511
Phone
(813) 307-8015
Fax
(813) 276-2999
NPI assigned
Jun 8, 2006
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP1079232 FL Primary

Addresses

Primary practice location

1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511

Mailing address

1105 E Kennedy Blvd
Suite 311
Tampa, FL 33602-3511
Phone (813) 307-8015

Other identifiers 1

IdentifierTypeStateIssuer
301546700MedicaidFL

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP1079232FLMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1578504163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SUITE 311",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8015",
            "fax_number": "813-276-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "CNM ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP1079232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301546700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.