Individual provider Active NPI

Stephanie Natasha Bailey, APRN

  • Nurse Practitioner
  • Seminole, FL
National Provider Identifier
1720724115
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11015548 Issued in FL
Practice address
9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522
Phone
(727) 270-9798
Fax
(727) 394-1505
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11015548 FL Primary

Addresses

Primary practice location

9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522

Mailing address

9555 Seminole Blvd Ste 104
Seminole, FL 33772-2522
Phone (727) 270-9798

Other identifiers 1

IdentifierTypeStateIssuer
APRN11015548OtherFLLICENSE NO.

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
I20220602001432 FL Practitioner - Nurse Practitioner 1254719206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7901 4TH St N
St Petersburg, FL 33702-4305

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015548FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MB Primary Care LLC Nurse Practitioner CurrentSince May 9, 2022 Accepting new patients
Mending Hearts Primary Care LLC CurrentSince Dec 18, 2023 Accepting new patients
Choice Health Care, Inc. CurrentSince Jan 24, 2024 Accepting new patients
L Bhattacharjee MD PA PastSince Oct 1, 2022 Accepting new patients

Locations

1201 S Highland Ave
Ste 7
Clearwater, FL 33756
Phone (727) 394-1500

515 Missouri Ave N
Largo, FL 33770
Phone (727) 587-6667

9555 Seminole Blvd
Ste 104
Seminole, FL 33772
Phone (727) 394-1500

4700 N Habana Ave
Ste 201
Tampa, FL 33614
Phone (727) 527-5100

Interoperability endpoints

  • Direct secure messaging: stephanie.bailey.1@30565.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1720724115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722522",
            "telephone_number": "727-270-9798",
            "fax_number": "727-394-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD STE 104",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722522",
            "telephone_number": "727-270-9798",
            "fax_number": "727-394-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STEPHANIE",
        "middle_name": "NATASHA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "APRN11015548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.