Active NPI
Stephanie Fuentes
- Chiropractor
- Port Orange, FL
National Provider Identifier
1932056157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15847
- Practice address
- 4777 City Center Pkwy
Port Orange, FL 32129-4153 - Phone
- (866) 585-9677
- NPI assigned
- Mar 16, 2026
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15847 | FL | Primary |
Addresses
Primary practice location
4777 City Center Pkwy
Port Orange, FL 32129-4153
Mailing address
944 Broadcast PL Apt 111
Jacksonville, FL 32207-8795
Phone (850) 517-5686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15847 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1932056157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 BROADCAST PL APT 111",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078795",
"telephone_number": "850-517-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 CITY CENTER PKWY",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294153",
"telephone_number": "866-585-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.