STACY CENTENO (NPI# 1508215450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508215450 |
| Entity Type | Individual |
| Full Name | STACY CENTENO |
| Practice Address |
943 S Beneva Rd Ste 210 Sarasota FL 34232 |
| Mailing Address |
943 S Beneva Rd Ste 210 Sarasota FL 34232-2472 |
| Practice Telephone | 9413791777 |
| Practice Fax Number | 9413791888 |
| Mailing Telephone | 9413791777 |
| Mailing Fax Number | 9413791888 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9487298 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.014329 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Spalding Dr, 310, Naperville, IL 605406508 | 6305275000 | 6305275440 |
| Street Address |
943 S BENEVA RD STE 210 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| 1033453261 | Louisa Leanne Pittman | Nurse Practitioner | 6050 Cattleman Dr. Suite 110, Sarasota, FL 34232 | 2012-11-10 |
| Find all providers in zip 34232 | ||||
| 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 |
|---|---|---|---|---|
| 1659988871 | Caleb Rose | Nurse Practitioner | 1852 Hillview St Ste 301, Sarasota, FL 34239-3638 | 2020-10-01 |
| 1043823214 | Rachelle Ann Kutzko | Nurse Practitioner | 3333 Cattlemen Rd Ste 106, Sarasota, FL 34232-6057 | 2020-08-28 |
| 1003428707 | Derek Jason Sisk | Nurse Practitioner | 3554 65th Avenue Cir E, Sarasota, FL 34243-4116 | 2020-08-24 |
| 1104437128 | Heather Wicklund | Nurse Practitioner | 1626 Brookhouse Dr Unit 234, Sarasota, FL 34231-8982 | 2020-08-13 |
| 1205460540 | Olga Nielsen | Nurse Practitioner | 1857 Oak Branch Dr, Sarasota, FL 34232-6658 | 2020-02-25 |
| 1194284737 | Lori-ann T Luer | Nurse Practitioner | 3245 Old Oak Dr, Sarasota, FL 34239-5020 | 2019-03-13 |
| 1881150555 | Steven Mazar | Nurse Practitioner | 5151 Old Ashwood Dr, Sarasota, FL 34233-3491 | 2019-02-18 |
| 1295204741 | Beth Robin Domino | Nurse Practitioner | 700 Cocoanut Ave Unit 326, Sarasota, FL 34236-5063 | 2018-11-14 |
| 1235634700 | Marathon Health LLC | Nurse Practitioner | 237 Payne Pkwy Unit 101, Sarasota, FL 34237-7018 | 2018-03-27 |
| 1861904567 | Linda Suzanne Martell | Nurse Practitioner | 8383 S. Tamiami Trail, Suite 115, Sarasota, FL 34238-3046 | 2017-11-02 |
| Find all providers in SARASOTA | ||||
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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.