Individual provider Active NPI

Stephanie Woodburn, ARNP

  • Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1952736688
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2852742 Issued in FL
Practice address
2951 NW 49TH Ave
101
Lauderdale Lakes, FL 33313-1600
Phone
(954) 739-2511
Fax
(954) 739-9239
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2852742 FL Primary

Addresses

Primary practice location

2951 NW 49TH Ave
101
Lauderdale Lakes, FL 33313-1600

Mailing address

2951 NW 49 Ave
101
Lauderdale Lakes, FL 33313
Phone (954) 739-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince May 14, 2024 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC CurrentSince May 14, 2024 Accepting new patients
R K Vishen MD P a CurrentSince May 1, 2018 Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients
Mount Sinai Medical Center Past Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

165 Wells Rd
Ste 404
Orange Park, FL 32073
Phone (904) 264-3111

1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (305) 223-2000

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 5

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1952736688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49 AVE",
            "address_2": "101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131600",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2852742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.