Stephanie Patricia Haubrock, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9491301 Issued in FL

Practice address

14154 Shocklach Dr
Winter Garden, FL 34787-4741

Phone

(513) 658-0249

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: stephanie.haubrock@335000925634564.direct.elationemr.com

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.

• Alex Rojas, M.D.,LLC

  • Point of Service
  • Kissimmee, FL
  • NPI 1942498779
  Medicare reassignment NPD

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1780163600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14154 SHOCKLACH DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14154 SHOCKLACH DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874741",
            "telephone_number": "513-658-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUBROCK",
        "first_name": "STEPHANIE",
        "middle_name": "PATRICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9491301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abagail Harvey
• Deshawnda Hasan, PHARM D
• Hosam A Hassan, OD
• Hazel Denise Hastings, M.S.
• Lowelyn Hatulan
• Hawa Pharmacy Inc
• Thomas Aric Hawkins, DMD
• Dominick Haynes
• Rachel Llynne Hayward, FNP-BC
• Health 1St Medical and Rehabilitation LLC

• Family Nurse Practitioner in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.