Active NPI
Stephanie Delbert, APRN
- Primary Care Nurse Practitioner
- Lake Placid, FL
National Provider Identifier
1720036908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN881502
- Practice address
- 13 N Main Ave
Lake Placid, FL 33852 - Phone
- (863) 659-1079
- Fax
- (863) 659-1317
- NPI assigned
- May 4, 2006
- Last updated
- Nov 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN881502 | FL | Primary |
Addresses
Primary practice location
13 N Main Ave
Lake Placid, FL 33852
Mailing address
PO Box 2489
Lake Placid, FL 33862-2489
Phone (863) 659-1079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN881502 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Center of Lake Placid | Adult Health | Current | Accepting new patients |
| Mary Josefyk DNP Aprn PA | Past | Accepting new patients |
Locations
299 E Interlake Blvd
Lake Placid, FL 33852
Phone (863) 260-0398
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Lake Placid, FL
- NPI 1699204693
-
- Adult Health Nurse Practitioner
- Lake Placid, FL
- NPI 1750773321
-
dba Main Avenue Medical
- Primary Care Clinic/Center
- Lake Placid, FL
- NPI 1942089453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573862400000",
"number": "1720036908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2489",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338622489",
"telephone_number": "863-659-1079",
"fax_number": "863-659-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 N MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "33852",
"telephone_number": "863-659-1079",
"fax_number": "863-659-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELBERT",
"first_name": "STEPHANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2019-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN881502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.