Active NPI
Stephania Pardo, RN
- Registered Nurse
- Fort Lauderdale, FL
National Provider Identifier
1598245482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9480760
- Practice address
- 2787 E Oakland Park Blvd Ste 315
Fort Lauderdale, FL 33306-1632 - Phone
- (305) 674-2380
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN9480760 | FL | |
| Medical-Surgical Registered Nurse | 163WM0705X | RN9480760 | FL | |
| Registered Nurse | 163W00000X | RN9480760 | FL | Primary |
Addresses
Primary practice location
2787 E Oakland Park Blvd Ste 315
Fort Lauderdale, FL 33306-1632
Mailing address
PO Box 273122
Boca Raton, FL 33427-3122
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9480760 | FL | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1598245482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273122",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334273122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2787 E OAKLAND PARK BLVD STE 315",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061632",
"telephone_number": "305-674-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "STEPHANIA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "FL",
"license": "RN9480760",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "FL",
"license": "RN9480760",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9480760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.