Individual provider Active NPI

Kari Annette Stanford

  • Gerontology Nurse Practitioner
  • Miami, FL
National Provider Identifier
1700242336
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9376426 Issued in FL
Practice address
5200 NE 2ND Ave FL 3
Miami, FL 33137-2706
Phone
(305) 762-3883
NPI assigned
Jan 12, 2016
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9376426 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave FL 3
Miami, FL 33137-2706

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (847) 692-1000

Other identifiers 2

IdentifierTypeStateIssuer
P01629498OtherFLRR MEDICARE
016726300MedicaidFL

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
I20160212001297 FL Practitioner - Nurse Practitioner 3577867423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

1408 N W Shore Blvd
Suite 260
Tampa, FL 33607-4590
Phone (813) 607-2630

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
60.1
Improvement activities
40
Cost
80.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9376426FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Sep 21, 2020 Accepting new patients
Seasons Hospice & Palliative Care of Tampa, LLC PastSince Sep 21, 2020 Accepting new patients

Locations

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1700242336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "847-692-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "KARI",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9376426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01629498",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016726300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.