Active NPI
Darryl Stewart, FL LHA 3527290
- Contractor
- Tallahassee, FL
National Provider Identifier
1770075178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- D044821
- Practice address
- 1608 Sequoia Dr
Tallahassee, FL 32301-2734 - Phone
- (850) 878-8823
- NPI assigned
- May 31, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | D044821 | FL | Primary |
Addresses
Primary practice location
1608 Sequoia Dr
Tallahassee, FL 32301-2734
Mailing address
1608 Sequoia Dr
Tallahassee, FL 32301-2734
Phone (850) 878-8823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3527290 | Other | FL | NATIONAL PRODUCER NUMBER |
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 |
|---|---|---|---|
| D044821 | FL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1770075178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SEQUOIA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323012734",
"telephone_number": "850-878-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SEQUOIA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323012734",
"telephone_number": "850-878-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DARRYL",
"credential": "FL LHA 3527290",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "FL",
"license": "D044821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PRODUCER NUMBER",
"identifier": "3527290",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.