Individual provider Active NPI

Steven Behmke

  • Nurse Practitioner
  • Land O' Lakes, FL
National Provider Identifier
1750908935
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007898 Issued in FL
Practice address
2711 Letap CT Unit 101
Land O Lakes, FL 34638-7265
Phone
(813) 279-2211
NPI assigned
Jul 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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 APRN11007898 FL Primary

Addresses

Primary practice location

2711 Letap CT Unit 101
Land O Lakes, FL 34638-7265

Mailing address

2924 Network PL Apt 103a
Lutz, FL 33559-2132
Phone (407) 712-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2024 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11007898FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Envizion Medical Inc CurrentSince Jan 24, 2021 Accepting new patients

Locations

2711 Letap Ct
Unit 101
Land O Lakes, FL 34638
Phone (727) 588-0790

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1750908935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 NETWORK PL APT 103A",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335592132",
            "telephone_number": "407-712-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LETAP CT UNIT 101",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387265",
            "telephone_number": "813-279-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHMKE",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.