Stephanie Jean Crosen

Primary specialty

Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X

License

PGP-0664190 Issued in VA

Practice address

624 Hardings Wharf Dr
Kilmarnock, VA 22482-3109

Phone

(571) 226-7095

NPI assigned

Jul 16, 2025

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Jean Smithgall Former name

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": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1013809987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HARDINGS WHARF DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823109",
            "telephone_number": "571-226-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HARDINGS WHARF DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823109",
            "telephone_number": "571-226-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSEN",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "VA",
            "license": "PGP-0664190",
            "primary": true
        },
        {
            "code": "225CX0006X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SMITHGALL",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Robert Damon
• David L Harris MD LTD
• Dca of Kilmarnock, LLC
• Robert Cris Dedmond, DDS

• Blind Rehabilitation Specialist/Technologist in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Blind Rehabilitation Specialist/Technologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.