Active NPI
Dorothy Nicole Stewart, FNP-C
- Family Nurse Practitioner
- Chipley, FL
National Provider Identifier
1851099188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11023316
- Practice address
- 877 3Rd St Ste B
Chipley, FL 32428-1827 - Phone
- (850) 415-6781
- NPI assigned
- Feb 16, 2023
- Last updated
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11023316 | FL | Primary |
Addresses
Primary practice location
877 3Rd St Ste B
Chipley, FL 32428-1827
Mailing address
1431 Walker Rd
Graceville, FL 32440-7809
Phone (850) 272-9216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Graceville, FL 32440
Phone (850) 272-8520
7999 N Crescent Blvd
Pennsauken, NJ 08110-1402
Phone (850) 272-8520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11023316 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Family Health LLC | Family | Current | Accepting new patients |
Locations
7999 N Route 130
Pennsauken, NJ 08110
Phone (786) 303-7860
Organizations & group practices 1
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": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1851099188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 WALKER RD",
"city": "GRACEVILLE",
"state": "FL",
"postal_code": "324407809",
"telephone_number": "850-272-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 3RD ST STE B",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324281827",
"telephone_number": "850-415-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DOROTHY",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11023316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chipley, FL
- Southland Hospitlalist at Chipley, PL.
- Jennifer Andreu Stafford, M.A. CCC-SLP
- Steverson Pharmacy Services Inc (Kings Discount Drug)
- Steverson Pharmacy Services Inc (Kings Discount Drug)
- William L Steverson, RPH
- Shevaun Felder Strickland, LMT
- Cecilia Paulette Sweeney, L.M.T.
- Talknet Counseling, LLC
- Tallahassee Memorial Healthcare Inc (CIM - Chipley)
- Tallahassee Orthopedic Clinic III PL (Tallahassee Orthopedic Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.