Stacey Nicole Harden, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9282390 Issued in FL

Practice address

101 W 48TH St
Jacksonville, FL 32208-5232

Phone

(049) 557-5759

NPI assigned

Feb 9, 2017

Last updated

Jun 18, 2021By the provider in NPPES

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.harden@1024847350595588.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Healthcare Partners, LLC

  • General Practice Physician
  • Palm Coast, FL
  • NPI 1053762740
  Medicare reassignment NPD
• Discovery Health Zone

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1801569181
  NPD Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1801334834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 CORSSHILL BLVD",
            "address_2": "SUITE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32222",
            "telephone_number": "904-772-6522",
            "fax_number": "904-772-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 48TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322085232",
            "telephone_number": "049-557-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "STACEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9282390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Harcke, PA-C
• Nona Hardaman
• Lashawn Hardeman
• Harden-Givens Enterprise , LLC (overflow pharmacy)
• Sylvester Joshua Harden-Givens, CNA / CMA /
• Christina Leigh Harder, DPT
• Cecily Ann Hardin, LCSW
• Mercedes Nicole Hardin, RN
• Richard Duncan Hardin, M.D.
• Tiffani Hardin

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.