Connie Stewart, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN075283 Issued in OH

Practice address

11300 Columbiana Canfield Rd
Canfield, OH 44406-8485

Phone

(330) 549-4071

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1003230418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 COLUMBIANA CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 COLUMBIANA CANFIELD RD",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068485",
            "telephone_number": "330-549-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN075283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Squicquero, DDS
• Dorothea Jean Stanley, LISW
• Amy Stanovcak, RN
• Mark Stein, BCBA
• Gina Marie Stephenson
• Douglas James Styka, D.D.S.
• Suburban Radiology Limi
• Nicole Lee Sudia, INDEPENDENT PROVIDER
• Debra Rae Suffolk, M.A., CCC-SLP
• Logan N Sullivan, RD LDN

• Licensed Practical Nurse in Canfield, OH
• Providers in Canfield, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.