Individual provider Active NPI

Karin Kae Stanton

  • Gynecology Physician
  • Trinity, FL
National Provider Identifier
1922280460
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS10472 Issued in FL
Practice address
2154 Duck Slough Blvd Ste 103
Trinity, FL 34655-5073
Phone
(727) 264-7655
Fax
(727) 264-7735
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS10472 FL
Gynecology Physician 207VG0400X 5315019245 MI
Gynecology Physician 207VG0400X OS10472 FL Primary

Addresses

Primary practice location

2154 Duck Slough Blvd Ste 103
Trinity, FL 34655-5073

Mailing address

2154 Duck Slough Blvd Ste 103
Trinity, FL 34655-5073
Phone (727) 264-7655

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000740 FL Practitioner - Obstetrics/Gynecology 2062589633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS10472FLMDGynecology Physician
5315019245MIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

2154 Duck Slough Blvd
Ste 103
Trinity, FL 34655
Phone (727) 264-8888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFFCD/Endpoint/DFFFCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1922280460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD STE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "telephone_number": "727-264-7655",
            "fax_number": "727-264-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 DUCK SLOUGH BLVD STE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555073",
            "telephone_number": "727-264-7655",
            "fax_number": "727-264-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KARIN",
        "middle_name": "KAE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS10472",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "5315019245",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS10472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.