Active NPI
Tamara Stokes
- Social Worker
- Rockledge, FL
National Provider Identifier
1730599804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5259
- Practice address
- 4050 Riomar Dr Ste 120
Rockledge, FL 32955-5322 - Phone
- (321) 634-6047
- Fax
- (321) 634-2523
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5259 | FL | Primary |
Addresses
Primary practice location
4050 Riomar Dr Ste 120
Rockledge, FL 32955-5322
Mailing address
2411 Kathi Kim St
Cocoa, FL 32926-5371
Phone (321) 652-1192
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5259 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1730599804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 KATHI KIM ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329265371",
"telephone_number": "321-652-1192",
"fax_number": "321-634-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 RIOMAR DR STE 120",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555322",
"telephone_number": "321-634-6047",
"fax_number": "321-634-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "TAMARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "5259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.