Individual provider Active NPI

Stephanie Tennant, LPN

  • Licensed Practical Nurse
  • Circleville, OH
National Provider Identifier
1013714435
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.116774 Issued in OH
Practice address
2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone
(740) 500-1391
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.116774 OH Primary

Addresses

Primary practice location

2065 Stoneridge Dr
Circleville, OH 43113-8956

Mailing address

2065 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

Other practice location 1

1875 Stoneridge Dr
Circleville, OH 43113-8956
Phone (740) 500-1391

Other practice location 2

1235 S Court St
Circleville, OH 43113-2108
Phone (740) 500-1391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.116774OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Recovery of Circleville CurrentSince Mar 11, 2025 Accepting new patients
Full Circle Recovery of Circleville CurrentSince Mar 11, 2025 Accepting new patients

Locations

2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

1875 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391

1235 S Court St
Circleville, OH 43113
Phone (740) 420-9440

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

Organizations & group practices 2

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1013714435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431138956",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 S Court St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431132108",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNANT",
        "first_name": "STEPHANIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.116774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.