Individual Healthcare Provider
Dedra L Stone, APRN
Provider's NPPES record last updated: April 18, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073185070
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Daytona Beach, Florida
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:37 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(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.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- APRN11013963
Practice Locations
Practice Location
305 Memorial Medical Pkwy Ste 501
Daytona Beach, Florida 32117-5170
Phone: (386) 615-0900
Additional Practice Location
38 Clipper Ct
St Augustine, Florida 32080-6553
Phone: (352) 275-7829
Additional Practice Location
3 Pine Cone Dr Ste 106
Palm Coast, Florida 32137-8684
Phone: (386) 585-4463
Fax: (386) 585-4482
Additional Practice Location
4883 Palm Coast Pkwy Nw Unit 5
Palm Coast, Florida 32137-3675
Phone: (386) 585-4463
Fax: (386) 585-4482
Record Information
- Enumeration Date
- July 11, 2021
- Provider's NPPES Record Last Updated
- April 18, 2023
- Certification Date
- April 18, 2023
- NPISignal NPPES Dataset
- August 2026
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