Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144779927 Individual Practitioner Female Practitioner

Staci Harris , CPNP-PC

Nurse Practitioner - Pediatrics • Brandon, FL

Professional Overview & Biography Verified Profile Summary

Staci Harris, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Brandon, FL. Practice services are available at 621 VICTORIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 Victoria St

Brandon, FL 335104313

Telephone 8136550292
Associated Practice Facility / Clinic
🏢 Nadal Pediatrics, Llc Facility NPI 1013988146

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Brandon, FL (1565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-02
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP9458087

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License FL 9458087

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License OH RN322649

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0189628 (OH)

Secondary Practice Locations

376 E Bloomingdale Ave

Brandon, FL 335118155

Phone: 8136817101

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Joyce Young , ARNP

Nurse Practitioner - Pediatrics

NPI 1174597264

Advanced Registered Nurse Practitioner

NPI 1407083520

Doctor of Medicine (M.D.)

NPI 1881665917

Doctor of Medicine (M.D.)

Katarina Safko , APRN

Nurse Practitioner - Pediatrics

NPI 1962298356

Advanced Practice Registered Nurse

Janet Buckley , ARNP

Nurse Practitioner - Pediatrics

NPI 1962473892

Advanced Registered Nurse Practitioner

Megan Cecka , PA-C

Physician Assistant - Medical

NPI 1992001861

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
📍
Updated Practice Location August 02, 2024

Registered at 621 VICTORIA ST, BRANDON, FL 335104313 (Tel: 8136550292)

📍
Updated Business Mailing Address August 02, 2024

Registered at 621 VICTORIA ST, BRANDON, FL 335104313 (Tel: 8136550292)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2024

Registered Nurse (License #9458087 in FL)

📍
Updated Practice Location August 31, 2023

Registered at 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 336076545 (Tel: 8138731725)

📍
Updated Business Mailing Address August 31, 2023

Registered at 2123 W DR MARTIN LUTHER KING JR BLVD STE 201, TAMPA, FL 336076545 (Tel: 8138731725)

📍
Updated Practice Location April 15, 2020

Registered at 1338 W FLETCHER AVE, TAMPA, FL 336123366 (Tel: 8132642288)

📍
Updated Business Mailing Address April 15, 2020

Registered at 1338 W FLETCHER AVE, TAMPA, FL 336123366 (Tel: 8132642288)

NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2017

Registered at 121 K D REVELL RD, WAUCHULA, FL 338732051 (Tel: 8637870696)

📍
Updated Business Mailing Address September 14, 2017

Registered at 47 5TH ST NW, WINTER HAVEN, FL 338814672 (Tel: (863) 268-7850)

👤
Provider Name / Credentials Updated September 14, 2017

Recorded as STACI HARRIS, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Nurse Practitioner (License #ARNP9458087 in FL)

📍
Updated Practice Location March 14, 2017

Registered at 601 EDWIN C. MOSES BLVD, ELIZABETH PLACE, 4TH FLOOR, DAYTON, OH 454173424 (Tel: 9377349450)

📍
Updated Business Mailing Address March 14, 2017

Registered at 601 EDWIN C. MOSES BLVD, ELIZABETH PLACE, 4TH FLOOR, DAYTON, OH 454173424 (Tel: 9377349450)

NPI Profile Active September 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2016

Registered at 2620 WESTFIELD AVE, DAYTON, OH 454202378 (Tel: 9376205765)

📍
Updated Business Mailing Address September 22, 2016

Registered at 2620 WESTFIELD AVE, DAYTON, OH 454202378 (Tel: 9376205765)

👤
Provider Name / Credentials Updated September 22, 2016

Recorded as STACI HARRIS, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2016

Nurse Practitioner (License #RN322649 in OH)

🟢
Initial NPI Registration & Enumeration September 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144779927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2016
Last Update: August 02, 2024
Sole Proprietor: No

Mailing Address

621 Victoria St

Brandon, FL 335104313

Phone: 8136550292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.