Active NPI
Stephanie Woodburn, ARNP
- Nurse Practitioner
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2852742
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seasons Medical Group of Florida PA | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Broward Florida LLC | Current | Accepting new patients | |
| R K Vishen MD P a | Current | 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
- 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.
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1912011511
-
dba AccentCare Hospice & Palliative Care of Broward County
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
-
dba AccentCare Medical Group of Florida
- Internal Medicine Physician
- Miami, FL
- NPI 1710238381
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1639278179
-
dba Mount Sinai Pharmacy Express
- Community/Retail Pharmacy
- Miami Beach, FL
- NPI 1780987412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.