Taylor Alexandra Stabb, MCMSC, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109302 Issued in FL

Practice address

213 S Pine Ave
Inverness, FL 34452-4830

Phone

(352) 560-3000

Fax

(352) 419-6513

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• West Florida Medical Associates P a

  • Internal Medicine Physician
  • Beverly Hills, FL
  • NPI 1265515001
  Medicare reassignment NPD
• West Florida Medical Associates, PA

  dba Comprehensive Primary Care

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1770724130
  NPD

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1982062238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524830",
            "telephone_number": "352-560-3000",
            "fax_number": "352-419-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S PINE AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524830",
            "telephone_number": "352-560-3000",
            "fax_number": "352-419-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABB",
        "first_name": "TAYLOR",
        "middle_name": "ALEXANDRA",
        "credential": "MCMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sovereign Healthcare of Inverness, LLC (Arbor Trail Rehab & Skilled Nursing Center)
• Laura Spain, S.T.
• Roxanne M Spitulski, PHARMD
• Twilla G Sponholz
• Sports and Orthopedic Rehabilitation Services Inc
• Staff America, Inc.
• Stanley J Williams MD PA
• Stephen H Stark, MD
• Stephan a Bart Sr MD PA
• Marjorie Stewart, MH-18289

• Medical Physician Assistant in Inverness, FL
• Providers in Inverness, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.

Verify at the official NPI Registry.