Individual provider Active NPI

Stacha-Keimone Kayana Newell, ARNP

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1699018838
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9235478 Issued in FL
Practice address
1447 Medical Park Blvd
Suite 300
Wellington, FL 33414-3164
Phone
(561) 790-5990
Fax
(561) 790-5952
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 APRN9235478 FL Primary

Addresses

Primary practice location

1447 Medical Park Blvd
Suite 300
Wellington, FL 33414-3164

Mailing address

770 Northpoint Parkway
Suite 102
West Palm Beach, FL 33407
Phone (561) 275-7604

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
I20130424000982 FL Practitioner - Nurse Practitioner 9537305289 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9235478FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FWC Perinatal, LLC CurrentSince May 17, 2018 Accepting new patients
Florida Woman Care, LLC CurrentSince May 17, 2018 Accepting new patients
Womencare PA Past Accepting new patients

Locations

875 Meadows Rd
Ste 325
Boca Raton, FL 33486
Phone (561) 368-8886

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

345 Jupiter Lakes Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 741-1957

2979 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 627-6801

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

601 SE Port St Lucie Blvd
Port St Lucie, FL 34984

1447 Medical Park Blvd
Ste 300
Wellington, FL 33414
Phone (561) 790-5990

770 Northpoint Pkwy
Ste 100
West Palm Beach, FL 33407

770 Northpoint Pkwy
Ste 102
West Palm Beach, FL 33407
Phone (561) 275-7604

770 Northpoint Pkwy
Ste 200
West Palm Beach, FL 33407
Phone (561) 555-3331

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: stacha.newell.1@13043.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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1699018838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 NORTHPOINT PARKWAY",
            "address_2": "SUITE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-275-7604",
            "fax_number": "561-802-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 MEDICAL PARK BLVD",
            "address_2": "SUITE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143164",
            "telephone_number": "561-790-5990",
            "fax_number": "561-790-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "STACHA-KEIMONE",
        "middle_name": "KAYANA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9235478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.