STEPHANIE ANDERSON (NPI# 1114386661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114386661 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANDERSON |
| Credential | ARNP |
| Practice Address |
12450 Roosevelt Blvd N Suite #101 St Petersburg FL 33716-1902 |
| Practice Telephone | 7275711688 |
| Mailing Telephone | 7275711688 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9307059 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228961 | Stephanie Ellen Anderson | Speech-Language Pathologist | 401 Se Main St Apt 7011, Minneapolis, MN 55414-4618 | 2020-06-04 |
| 1902305139 | Stephanie Lee Anderson | Case Manager/Care Coordinator | 15599 E 78th St N, Owasso, OK 74055-6036 | 2018-02-02 |
| 1609321876 | Stephanie Anderson | Physical Therapist | 1940 Griggs St Se, Grand Rapids, MI 49506-4664 | 2016-08-17 |
| 1962860296 | Stephanie Anderson | Massage Therapist | 1023 Pensacola St Ste C, Honolulu, HI 96814-1957 | 2016-02-01 |
| 1386021335 | Stephanie Anderson | Social Worker | 424 Doe Lane, Lakemoor, IL 60051 | 2015-04-29 |
| 1396136586 | Stephanie Lee Anderson | Doula | 22818 Provincial Blvd, Katy, TX 77450-1632 | 2015-02-10 |
| 1114346996 | Stephanie Anderson | Speech-Language Pathologist | 12823 S 45th Pl, Phoenix, AZ 85044-4036 | 2014-04-09 |
| 1285997437 | Stephanie S. Anderson | Specialist | 480 Charles Ln, Wantagh, NY 11793-1408 | 2012-06-22 |
| 1639478704 | Stephanie Lynn Anderson | Durable Medical Equipment & Medical Supplies | 3800 Nw Loop 410, Suite 103, San Antonio, TX 78229-3618 | 2011-03-15 |
| 1467750463 | Stephanie S Anderson | Chiropractor | 1549 Fort Harrison Rd, Terre Haute, IN 47804-1332 | 2011-03-01 |
| Street Address |
12450 ROOSEVELT BLVD N SUITE #101 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841182 | Charmaine A. Carter | Internal Medicine | 12450 Roosevelt Blvd N, Suite 308, St Petersburg, FL 33716-1902 | 2005-09-19 |
| 1487127379 | Jessica Tonkin | Nurse Practitioner | 12450 Roosevelt Blvd N, St Petersburg, FL 33716-1902 | 2019-01-03 |
| 1194710871 | Colin Chan | Family Medicine | 12450 Roosevelt Blvd N, Suite 101, St Petersburg, FL 33716-1902 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857349 | Angelea N Koenig | Nurse Practitioner | 625 6th Ave S Ste 125, St Petersburg, FL 33701-4664 | 2020-09-24 |
| 1508479411 | Kendall Day Melendi | Nurse Practitioner | 6499 38th Ave N Ste B2, St Petersburg, FL 33710-1650 | 2020-08-28 |
| 1376160408 | Vicki Lynn Cory | Nurse Practitioner | 2315 7th St N, St Petersburg, FL 33704-3303 | 2020-07-06 |
| 1851917520 | Aushaunte F White | Nurse Practitioner | 6395 21st Way S, St Petersburg, FL 33712-5737 | 2020-06-18 |
| 1932730025 | Julio Gandarillas | Nurse Practitioner | 2062 Burlington Ave N, St Petersburg, FL 33713-8033 | 2020-01-28 |
| 1376182485 | Jermece Watts | Nurse Practitioner | 6101 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1141 | 2020-01-06 |
| 1619510864 | Tracie D Barber | Nurse Practitioner | 1049 27th Ave S, St Petersburg, FL 33705-3527 | 2019-10-21 |
| 1194367136 | Jessica Danielle Einwag Arnold | Nurse Practitioner | 1515 Eden Isle Blvd Ne Apt 32, St Petersburg, FL 33704-1718 | 2019-10-10 |
| 1588205678 | Lauren Bartkovsky | Nurse Practitioner | 10475 Gandy Blvd N Unit 1401, St Petersburg, FL 33702-2493 | 2019-10-01 |
| 1699337352 | Janae N Anderson | Nurse Practitioner | 1201 5th Ave N Ste 408, St Petersburg, FL 33705-1425 | 2019-07-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on STEPHANIE ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.