Individual provider Active NPI

Alanna Johnson Steaple, CCC-SLP

  • Community Health Nurse Practitioner
  • Quincy, FL
National Provider Identifier
1770690125
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
9244800 Issued in FL
Practice address
278 Lasalle Lefall Dr
Quincy, FL 32351-5324
Phone
(850) 875-7200
NPI assigned
Aug 23, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3709 GA
Speech-Language Pathologist 235Z00000X 1119 SC
Community Health Nurse Practitioner 363LC1500X 9244800 FL Primary
Speech-Language Pathologist 235Z00000X SA3739 FL

Addresses

Primary practice location

278 Lasalle Lefall Dr
Quincy, FL 32351-5324

Mailing address

278 Lasalle Lefall Dr
Quincy, FL 32351-5324
Phone (850) 875-7200

Other identifiers 1

IdentifierTypeStateIssuer
003218900MedicaidFL

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
I20140110000959 FL Practitioner - Nurse Practitioner 2466680897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA3739FLMDSpeech-Language Pathologist
3709GAMDSpeech-Language Pathologist
9244800FLMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Medical Center, Inc CurrentSince Dec 11, 2013 Accepting new patients
Neighborhood Medical Center, Inc CurrentSince Dec 11, 2013 Accepting new patients
Neighborhood Medical Center, Inc Past Accepting new patients

Locations

604 E 5th Ave
Havana, FL 32333
Phone (850) 224-2469

2295 Pasco St
Tallahassee, FL 32310
Phone (850) 224-2409

3013 Jim Lee Rd
Tallahassee, FL 32301
Phone (850) 391-5585

438 W Brevard St
Tallahassee, FL 32301
Phone (850) 224-2469

Interoperability endpoints

  • Direct secure messaging: alanna.steaple.1@15524.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1770690125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515324",
            "telephone_number": "850-875-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515324",
            "telephone_number": "850-875-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEAPLE",
        "first_name": "ALANNA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "3709",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "1119",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "9244800",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

Verify at the official NPI Registry.