Individual provider Active NPI

Catherine Elizabeth Stevens, ARNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1669923041
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2759822 Issued in FL
Practice address
17281 Phlox Dr
Fort Myers, FL 33967-2589
Phone
(239) 415-0502
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2759822 FL Primary

Addresses

Primary practice location

17281 Phlox Dr
Fort Myers, FL 33967-2589

Mailing address

3109 Tamiami TRL
Ste 3
Port Charlotte, FL 33952-8046
Phone (239) 415-0502

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
I20190628000604 FL Practitioner - Nurse Practitioner 0446584163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians
Charlotte Pain Management Center IncGroup PAC ID 6800962176, 5 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

3109 Tamiami TRL
Suite 3
Port Charlotte, FL 33952-8046
Phone (941) 629-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP2759822FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Jul 17, 2026 Accepting new patients
Monogram Health Professional Services of Florida LLC Family CurrentSince Dec 6, 2024 Accepting new patients
Charlotte Pain Management Center Inc CurrentSince May 1, 2019 Accepting new patients

Locations

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3109 Tamiami Trl
Ste 3
Pt Charlotte, FL 33952
Phone (941) 629-3000

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

5410 Maryland Way
Ste 400
Brentwood, TN 37027

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4
  • Direct secure messaging: catherine.stevens.1@22854.direct.athenahealth.com

Organizations & group practices 3

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1669923041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 TAMIAMI TRL",
            "address_2": "STE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528046",
            "telephone_number": "239-415-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17281 PHLOX DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339672589",
            "telephone_number": "239-415-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2759822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.