Individual provider Active NPI

Linda Jean Stephan, CNM

  • Advanced Practice Midwife
  • Saint Petersburg, FL
National Provider Identifier
1003016932
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9289046 Issued in FL
Practice address
6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710
Phone
(727) 344-6060
Fax
(727) 347-5586
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00044401 NJ
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP9289046 FL
Advanced Practice Midwife 367A00000X ARNP9289046 FL Primary

Addresses

Primary practice location

6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710

Mailing address

6450 38TH Ave N
Suite 200
Saint Petersburg, FL 33710
Phone (727) 344-6060

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9289046OtherFLBOARD OF NURSING LICENSE
25ME00044401OtherNJCNM LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000372 NJ Practitioner - Certified Nurse Midwife (CNM) 7618055138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Dec 3, 2012 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Dec 3, 2012 Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients
West Coast Neonatology, Inc. Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients
All Children'S OB/GYN Specialists PastSince Jun 12, 2022 Accepting new patients

Locations

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

Interoperability endpoints

  • FHIR API: https://epicproxy.et1073.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFEIAA/Endpoint/IFEIAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1003016932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-344-6060",
            "fax_number": "727-347-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 200",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-344-6060",
            "fax_number": "727-347-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00044401",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9289046",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9289046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING LICENSE",
            "identifier": "ARNP9289046",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LICENSE",
            "identifier": "25ME00044401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.