Katrina R. Stephanos, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R127707 Issued in MD

Practice address

6040 Public Landing Rd
Snow Hill, MD 21863-2453

Phone

(410) 632-1100

NPI assigned

Dec 13, 2006

Last updated

May 4, 2012By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  Medicare reassignment NPD
• Worcester County Health Department

  • Public Health or Welfare Agency
  • Snow Hill, MD
  • NPI 1003868076
  Medicare reassignment NPD
• Johns Hopkins Community Physicians

  dba JHCP- 6225 Smith Avenue; Mental Health Therapy

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806
  NPD
• Johns Hopkins Community Physicians, Inc

  dba JHCP Johns Hopkins Healthcare

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1720540925
  NPD
• Worcester County Health Department

  • Community/Behavioral Health Agency
  • Berlin, MD
  • NPI 1881992220
  NPD
• Worcester County Health Department

  • Public Health or Welfare Agency
  • Snow Hill, MD
  • NPI 1982269098
  NPD
• Atlantic General Hospital Corporation

  dba Atlantic General Health System

  • Family Medicine Physician
  • Berlin, MD
  • NPI 1871582171
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1053472662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 CHERRIX RD",
            "city": "GIRDLETREE",
            "state": "MD",
            "postal_code": "218292819",
            "telephone_number": "443-235-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 PUBLIC LANDING RD",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218632453",
            "telephone_number": "410-632-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANOS",
        "first_name": "KATRINA",
        "middle_name": "R.",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R127707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R127707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705371101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Snow Hill SNF Operations LLC (Snow Hill Rehabilitation and Healthcare Center)
• Snow Hill Volunteer Fire Company Inc.
• Karoline Makenna Sorrell
• Mary Alexis Ivy Southward, LMSW
• Seren Jaye Starlite, BSW
• Debra K. Stevens, RN
• Benjamin Robert Strahl, D.D.S.
• Jessica Sturgis
• Lynn Marie Suarezapecheche
• Jaime Faye Thomas, LPN

• Family Nurse Practitioner in Snow Hill, MD
• Providers in Snow Hill, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.