Individual provider Active NPI

Stephanie Martha Chiu, NP

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1043091663
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027633 Issued in CA
Practice address
500 Lennon LN
Walnut Creek, CA 94598-2415
Phone
(925) 939-9610
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027633 CA Primary

Addresses

Primary practice location

500 Lennon LN
Walnut Creek, CA 94598-2415

Mailing address

500 Lennon LN
Walnut Creek, CA 94598-2415
Phone (925) 939-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231122002512 CA Practitioner - Nurse Practitioner 8022466481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027633CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Oct 11, 2023 Accepting new patients

Locations

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1043091663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "STEPHANIE",
        "middle_name": "MARTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.