Stephanie Bacon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018258 Issued in FL

Practice address

3508 Rolling TRL
Palm Harbor, FL 34684-3534

Phone

(850) 376-7678

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Serban Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1699424986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 ROLLING TRL",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843534",
            "telephone_number": "850-376-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 ROLLING TRL",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843534",
            "telephone_number": "850-376-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3890 Tampa Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843677",
            "country_code": "US",
            "telephone_number": "727-789-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACON",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SERBAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Awrey
• B. Ronald Lopez, M.D.P.a.
• Lalana Babugowda, MD
• Tobias Bacaner, MD
• Rochelle D Baccari, LMHC
• Philip F Bagenski, M.D.
• Adam R Bainey, D.O.
• Gregory E Baker, MD
• Morgan Baker, MOT, OTR/L
• Elijah Bakkalapulo

• Family Nurse Practitioner in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.

Verify at the official NPI Registry.