Active NPI
Stephanie Mittauer, APRN
- Family Nurse Practitioner
- Boynton Beach, FL
National Provider Identifier
1679063226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9346108
- Practice address
- 6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586 - Phone
- (561) 509-5009
- NPI assigned
- May 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9346108 | FL | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9346108 | FL |
Addresses
Primary practice location
6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586
Mailing address
548 W Palm Aire Dr
Pompano Beach, FL 33069-5547
Phone (954) 401-4654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9346108 | FL | MD | Family Nurse Practitioner |
| APRN9346108 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mellow Medical Inc a Professional Corporation | Current | Accepting new patients |
Locations
12301 Wilshire Blvd
Ste 512
Los Angeles, CA 90025
Phone (833) 427-3566
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284
Interoperability endpoints
- stephanie.mittauer.2@17796.direct.athenahealth.com
- https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1407275886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1679063226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 W PALM AIRE DR",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330695547",
"telephone_number": "954-401-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 BOYNTON BEACH BLVD STE 240",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373586",
"telephone_number": "561-509-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTAUER",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-18",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9346108",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9346108",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.