Individual provider Active NPI

Stefanny Molina Mesa, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1851909212
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11007989 Issued in FL
Practice address
6916 W Linebaugh Ave Ste 102
Tampa, FL 33625-5815
Phone
(813) 481-2645
NPI assigned
Jul 21, 2020
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11007989 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007989 FL Primary
Family Medicine Physician 207Q00000X APRN11007989 FL

Addresses

Primary practice location

6916 W Linebaugh Ave Ste 102
Tampa, FL 33625-5815

Mailing address

3016 W Kirby St
Tampa, FL 33614-3303
Phone (813) 481-2645

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
I20210810003724 FL Practitioner - Nurse Practitioner 9830593037 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007989FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Mental Health, LLC CurrentSince Apr 24, 2023 Accepting new patients

Locations

3105 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 269-2920

3105 W Waters Ave
Ste 107
Tampa, FL 33614

3105 W Waters Ave
Ste 212
Tampa, FL 33614
Phone (813) 269-2920

6916 W Linebaugh Ave
Ste 102
Tampa, FL 33625
Phone (813) 265-0210

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1851909212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W KIRBY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143303",
            "telephone_number": "813-481-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 W LINEBAUGH AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255815",
            "telephone_number": "813-481-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA MESA",
        "first_name": "STEFANNY",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007989",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007989",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11007989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.