Individual provider Active NPI

Carrie Steward, APRN-CNP

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1023650165
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024086 Issued in OH
Practice address
2605 Greenbrier CT
Beavercreek, OH 45431-8564
Phone
(937) 782-8103
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024086 OH Primary

Addresses

Primary practice location

2605 Greenbrier CT
Beavercreek, OH 45431-8564

Mailing address

1975 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 439-6186

Other practice location 1

7756 Washington Village Dr Ste A
Centerville, OH 45459-3999
Phone (937) 425-0035

Other names 1

  • Carrie A. Miller Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL 9377828103
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address csteward12858@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204002426 OH Practitioner - Nurse Practitioner 1658707914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024086OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Geriatric Care Providers Inc CurrentSince Dec 18, 2019 Accepting new patients

Locations

7756 Washington Village Dr
Ste A
Dayton, OH 45459
Phone (937) 425-0035

3195 Dayton Xenia Rd
#309
Dayton, OH 45434

3095 Dayton Xenia Rd
Ste 900
Dayton, OH 45434
Phone (937) 458-4010

8701 Troy Pike
Ste 220
Huber Heights, OH 45424
Phone (937) 558-3327

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1023650165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 GREENBRIER CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318564",
            "telephone_number": "937-782-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7756 Washington Village Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454593999",
            "country_code": "US",
            "telephone_number": "937-425-0035",
            "fax_number": "937-425-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "CARRIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9377828103",
            "affiliation": "N",
            "address_1": "2605 Greenbrier Ct",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454318564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste A",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csteward12858@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste A",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "MILLER",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.