Individual provider Active NPI

Stephanie Lynn Prestwich, M.ED.

  • School Counselor
  • Show Low, AZ
National Provider Identifier
1023203809
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
3382048 Issued in AZ
Practice address
500 W Old Linden Rd
Show Low, AZ 85901-4608
Phone
(928) 532-6850
Fax
(928) 537-6099
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 3382048 AZ Primary

Addresses

Primary practice location

500 W Old Linden Rd
Show Low, AZ 85901-4608

Mailing address

501 W Stratton
Show Low, AZ 85901-6351
Phone (928) 532-6850

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3382048AZMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Show Low Unified School District #10 Past Accepting new patients

Organizations & group practices 1

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1023203809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W STRATTON",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859016351",
            "telephone_number": "928-532-6850",
            "fax_number": "928-537-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W OLD LINDEN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014608",
            "telephone_number": "928-532-6850",
            "fax_number": "928-537-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTWICH",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": "3382048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.