Active NPI
A Step to Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
National Provider Identifier
1043828718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- A STEP TO WELLNESS
- Practice address
- 1110 Benfield Blvd Ste H
Millersville, MD 21108-2644 - Phone
- (443) 788-9476
- Fax
- (949) 655-8724
- NPI assigned
- Jul 20, 2020
- Last updated
- May 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stephanie Patricia McDonnaugh
- Title
- Aprn, FNP, Pmhnp
- Phone
- (302) 354-6583
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1110 Benfield Blvd Ste H
Millersville, MD 21108-2644
Mailing address
2618 Sequoia LN
Gambrills, MD 21054-1376
Phone (443) 788-9476
Other practice location 1
1413 Annapolis Rd Ste 207
Odenton, MD 21113-1216
Phone (302) 354-6583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Millersville, MD
- NPI 1821209677
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1043828718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 SEQUOIA LN",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541376",
"telephone_number": "443-788-9476",
"fax_number": "949-655-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 BENFIELD BLVD STE H",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211082644",
"telephone_number": "443-788-9476",
"fax_number": "949-655-8724"
}
],
"practiceLocations": [
{
"address_1": "1413 Annapolis Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Odenton",
"state": "MD",
"postal_code": "211131216",
"country_code": "US",
"telephone_number": "302-354-6583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "A STEP TO WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "MCDONNAUGH",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "APRN, FNP, PMHNP",
"authorized_official_telephone_number": "302-354-6583",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.