Individual provider Active NPI

Ericka E Stephens, APRN, LCSW

  • Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1598084428
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9418147 Issued in FL
Practice address
1 South Blvd E # 1020
Davenport, FL 33837-7547
Phone
(863) 419-7645
Fax
(863) 419-7655
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Registered Nurse 163W00000X RN9418147 FL
Nurse Practitioner 363L00000X 9418147 FL Primary

Addresses

Primary practice location

1 South Blvd E # 1020
Davenport, FL 33837-7547

Mailing address

1 South Blvd E # 1020
Davenport, FL 33837-7547
Phone (863) 419-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000445 FL Practitioner - Nurse Practitioner 0749529311 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9418147FLMDRegistered Nurse
9418147FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Inpatient Medicine LLC CurrentSince Nov 14, 2018 Accepting new patients
Mid-Florida Psychiatry Center PL CurrentSince Dec 27, 2022 Accepting new patients

Locations

1 South Blvd E
#1020
Davenport, FL 33837
Phone (863) 419-7645

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1598084428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH BLVD E # 1020",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377547",
            "telephone_number": "863-419-7645",
            "fax_number": "863-419-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH BLVD E # 1020",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377547",
            "telephone_number": "863-419-7645",
            "fax_number": "863-419-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ERICKA",
        "middle_name": "E",
        "credential": "APRN, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9418147",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9418147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.