MRS. STEPHANIE LYNN WILSON (NPI# 1336685395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336685395 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE LYNN WILSON |
| Credential | FNP-BC |
| Practice Address |
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 8133216237 |
| Practice Fax Number | 8134631801 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9479701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9479701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000021911 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 107548200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493184 | Stephanie Leigh Wilson | Registered Nurse | 1920 E Indian School Rd Apt 2062, Phoenix, AZ 85016-6078 | 2020-10-08 |
| 1366049819 | Stephanie Marie Cupples Wilson | Dietitian, Registered | 5401 Harborside Dr, Tampa, FL 33615-3664 | 2020-10-07 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1346865888 | Stephanie Wilson | Licensed Practical Nurse | 2701 Cumberland Rd, Odessa, TX 79762-6913 | 2020-06-10 |
| 1558992057 | Stephanie R Wilson | Occupational Therapy Assistant | 5308 Wapakonata Trl Sw, Oxford, GA 30054-3335 | 2020-02-03 |
| 1063915528 | Stephanie Wilson | Case Manager/Care Coordinator | 20 Olive St Ste 311, Akron, OH 44310-3189 | 2018-03-12 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1306394432 | Stephanie Devon Wilson | Social Worker | 1933 Purple Dr, Fayetteville, NC 28314-8494 | 2016-09-19 |
| 1194187369 | Stephanie Baisa Wilson | Marriage & Family Therapist | 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 | 2016-03-25 |
| 1497143317 | Stephanie Wilson | Massage Therapist | 1790 32 Nd Ave South Suite 1a, Fargo, ND 58104 | 2014-12-30 |
| Street Address |
4211 VAN DYKE RD STE 200 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517395 | Assem Sherieh | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2008-04-30 |
| 1457885618 | Ashik Kirit Soni | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2017-04-14 |
| 1346699287 | Aysha Ahmed | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-06-10 |
| 1891144051 | Austin T Smith | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-06-08 |
| 1245694926 | Stephanie Desouza | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-04-08 |
| 1588033831 | Nicole Renee Drago | Nurse Practitioner | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2015-09-16 |
| 1700228921 | Lindsey Dambly Sperry | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2013-07-30 |
| 1346534849 | Louis Dembrun Matherne Iv | Surgery | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2011-06-02 |
| 1184917098 | Sai C Oruganti | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2011-05-25 |
| 1174753669 | Pavel Capote | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115798 | Doris Eileen Scruggs | Nurse Practitioner | 16541 Pointe Village Dr Ste 211, Lutz, FL 33558-5259 | 2019-07-08 |
| 1952812711 | Lillian Gonzalez | Nurse Practitioner | 2713 Cypress Bowl Rd, Lutz, FL 33558-5058 | 2017-10-19 |
| 1689898348 | Steven Mark Fountain | Nurse Practitioner | 1865 Tinsmith Cir, Lutz, FL 33559-3372 | 2007-04-12 |
| 1760410781 | Dirk Dave Wright | Nurse Practitioner | 1108 W County Line Rd, Lutz, FL 33558-5032 | 2006-06-29 |
| 1548200496 | James Collins | Nurse Practitioner | 2345 Meadowbrook Dr., Lutz, FL 33558 | 2006-06-08 |
| 1023055274 | Judith Loney Trotman | Nurse Practitioner | 18524 Avocet Dr, Lutz, FL 33558-2702 | 2006-05-31 |
| 1699757468 | Carla Mae Spikowski | Nurse Practitioner | 1416 Pope Pl, Lutz, FL 33549-5459 | 2005-11-17 |
| 1346729324 | Mary Bouie | Nurse Practitioner | 3939 Cheval Blvd, Lutz, FL 33558-5320 | 2018-08-09 |
| 1265921464 | Kalyn V Woodington | Nurse Practitioner | 26606 Magnolia Blvd, Lutz, FL 33559-8545 | 2018-05-03 |
| 1477900983 | Eisel Montero Montes De Oca | Nurse Practitioner | 4211 Van Dyke Rd Ste 101b, Lutz, FL 33558-8005 | 2016-05-16 |
| Find all providers in LUTZ | ||||
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| 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.