Healthcare Provider Details

I. General information

NPI: 1811857337
Provider Name (Legal Business Name): NAKISHA STAPLETON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 ORCHARD PARK DR
SPRING HILL FL
34608-4989
US

IV. Provider business mailing address

2222 ORCHARD PARK DR
SPRING HILL FL
34608-4989
US

V. Phone/Fax

Practice location:
  • Phone: 727-788-2616
  • Fax:
Mailing address:
  • Phone: 727-788-2616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9631090
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: