Individual provider Active NPI

Stephanie P Favreau, M.D.

  • Internal Medicine Physician
  • Mansfield, MA
National Provider Identifier
1003044256
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1024080 Issued in MA
Practice address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone
(508) 339-4144
Fax
(508) 342-1929
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1024080 MA Primary
Internal Medicine Physician 207R00000X MD14368 RI
Pediatrics Physician 208000000X MD14368 RI
Pediatrics Physician 208000000X 1024080 MA

Addresses

Primary practice location

200 Copeland Dr
Mansfield, MA 02048-1225

Mailing address

200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144

Other practice location 1

400 Bald Hill Rd
Suite 520
Warwick, RI 02886-1617
Phone (401) 793-8520

Other names 1

  • Stephanie P Tecun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140910000449 RI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4880813617
I20251111000751 MA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4880813617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Warren Alpert Medical School of Brown University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, shared by 17 NPIs, 191 clinicians

Practice addresses (Care Compare)

200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 695-0055

Hospital & facility affiliations

  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1024080MAMDInternal Medicine Physician
MD14368RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health, Inc. Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Sturdy Health Inc CurrentSince Nov 1, 2025 Accepting new patients
Sturdy Health Inc Internal Medicine Past Accepting new patients

Locations

127 Pearl St
Attleboro, MA 02703
Phone (508) 222-9146

200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

Interoperability endpoints

  • FHIR API: https://cnesp001.carene.org/FHIR/api/FHIR/R4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/713ac9f5-15a6-4520-831d-8a5ba81c49d0/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1003044256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-342-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-342-1929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Bald Hill Rd",
            "address_2": "Suite 520",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861617",
            "country_code": "US",
            "telephone_number": "401-793-8520",
            "fax_number": "401-793-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVREAU",
        "first_name": "STEPHANIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1024080",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD14368",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD14368",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1024080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TECUN",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.