Jla Stephen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

173233 Issued in OH

Practice address

306 Grant St
New Paris, OH 45347-1102

Phone

(765) 914-0562

NPI assigned

Feb 9, 2022

Last updated

Feb 9, 2022By 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 1

Addresses

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1043964919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GRANT ST",
            "city": "NEW PARIS",
            "state": "OH",
            "postal_code": "453471102",
            "telephone_number": "765-914-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GRANT ST",
            "city": "NEW PARIS",
            "state": "OH",
            "postal_code": "453471102",
            "telephone_number": "765-914-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "JLA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "173233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Trail Local School District
• Northwest Fire & Ambulance District (Northwest Emergency Squad)
• Kristin Richardson
• Reuben Jay Shankster
• Megan Smith, RA
• Trinity Mission New Paris Residential Care Facility, LP
• Erica Lynn Wagner

• Licensed Practical Nurse in New Paris, OH
• Providers in New Paris, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.