Individual provider Active NPI

Stephanie Leavitt, APRN

  • Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1760967012
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9346936 Issued in FL
Practice address
2951 NW 49TH Ave Ste 202
Lauderdale Lakes, FL 33313-1608
Phone
(954) 486-1250
Fax
(954) 486-6736
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 APRN9346936 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave Ste 202
Lauderdale Lakes, FL 33313-1608

Mailing address

7261 Sheridan St Ste 360
Hollywood, FL 33024-2726
Phone (954) 226-0121

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
I20220809002987 FL Practitioner - Nurse Practitioner 1355723222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCG of South Florida LLCGroup PAC ID 8022284173, 9 clinicians
Kidney Health Specialists LLCGroup PAC ID 3476967126, 2 clinicians

Practice addresses (Care Compare)

2901 Coral Hills Dr
Suite 360
Coral Springs, FL 33065-4146
Phone (954) 255-7310

7261 Sheridan St
Suite 360
Hollywood, FL 33024-2726
Phone (954) 226-0121

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 255-7310

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CCG of South Florida LLC CurrentSince May 3, 2022 Accepting new patients
Kidney Health Specialists LLC CurrentSince Feb 4, 2026 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 360
Coral Springs, FL 33065
Phone (954) 255-7310

7261 Sheridan St
Ste 360
Hollywood, FL 33024
Phone (954) 226-0121

7369 Sheridan St
Hollywood, FL 33024
Phone (954) 276-1925

8251 W Broward Blvd
Ste 103
Plantation, FL 33324
Phone (954) 255-7310

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ff12e4c4-d870-4293-8118-95d9d426fb5d/
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCCD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ece3b0d0-e9d1-4d87-8810-05245549aaf1/

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 and National Provider Directory roles.

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1760967012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 360",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726",
            "telephone_number": "954-226-0121",
            "fax_number": "866-981-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE STE 202",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "954-486-1250",
            "fax_number": "954-486-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9346936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.