DR. SHANTAYE STEPHENS (NPI# 1861006520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861006520 |
| Entity Type | Individual |
| Full Name | DR. SHANTAYE STEPHENS |
| Credential | PHARMD |
| Practice Address |
5201 Raymond St Orlando FL 32803-8208 |
| Mailing Address |
5031 Fiorella Ln Sanford FL 32771-5447 |
| Practice Telephone | 4076465500 |
| Mailing Telephone | 4074174455 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS46789 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PS46789 | 01 |
| Street Address |
5201 RAYMOND ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862517 | Janice Yvonne Walker | Nurse Practitioner | 5201 Raymond St, Teal Team, Orlando, FL 32803-8208 | 2005-06-23 |
| 1417565490 | Cory Dale Kline | Pharmacist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-16 |
| 1962010058 | Kathleen Morgan Daly | Physical Therapist | 5201 Raymond St, Orlando, FL 32803-8208 | 2020-07-15 |
| 1881259190 | Charlene Thome | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2019-05-02 |
| 1518459932 | Ashley Newton | Audiologist | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-06-01 |
| 1306344361 | Morgan Paige Wright Rauscher | Counselor | 5201 Raymond St, Orlando, FL 32803-8208 | 2018-01-24 |
| 1982112975 | Johnny Hadnot | Technician/Technologist | 5201 Raymond St, Orlando, FL 32803 | 2018-01-12 |
| 1548774888 | John Blasi IIi | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-11-23 |
| 1083135156 | Carolina T Kirton | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-06-29 |
| 1942748066 | Marquita Ann Fields | Social Worker | 5201 Raymond St, Orlando, FL 32803-8208 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1750989539 | Shuai Li | Pharmacist | 10615 Narcoossee Rd Fl 32832, Orlando, FL 32832-6904 | 2020-10-13 |
| 1083220552 | Dhavalkumar Bhalodia | Pharmacist | 717 W Lancaster Rd, Orlando, FL 32809-5994 | 2020-09-21 |
| 1841801834 | Ky Tu Kathy Trac | Pharmacist | 5672 Pendleton Dr, Orlando, FL 32839-7330 | 2020-08-12 |
| 1023627536 | Diane Ayuninjam | Pharmacist | 10407 Falcon Parc Blvd Apt 206, Orlando, FL 32832-5560 | 2020-07-30 |
| 1497363717 | Erin Nicole Jacks | Pharmacist | 6524 Tanglewood Bay Dr Apt 1924, Orlando, FL 32821-9377 | 2020-07-22 |
| 1134737943 | Paul Tran | Pharmacist | 2544 Saint Heather Way, Orlando, FL 32806-5072 | 2020-07-17 |
| 1225651862 | Kara Camille Ramos | Pharmacist | 2267 Grayling St, Orlando, FL 32820-1459 | 2020-05-18 |
| 1528680345 | Alberto Manuel Rodriguez-colon | Pharmacist | 620 Lochsmere Ln, Orlando, FL 32828-6673 | 2020-05-14 |
| 1114551819 | Emily Keene | Pharmacist | 14185 Lake Nona Blvd, Orlando, FL 32824-7421 | 2020-03-03 |
| Find all providers in ORLANDO | ||||
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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.