Steffanee Renee Edwards, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

57663 Issued in OK

Practice address

109 S Main St
Wetumka, OK 74883-4015

Phone

(405) 452-5400

Fax

(405) 452-3000

NPI assigned

Sep 14, 2009

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

Other identifiers 1

Other names 1

• Steffanee Renee Stockton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• McAlester Care Associates

  • Urgent Care Clinic/Center
  • McAlester, OK
  • NPI 1609025873
  NPD (past)
• McAlester Physician Management Services

  • Specialist
  • McAlester, OK
  • NPI 1346342151
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1053644716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748830236",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "WETUMKA",
            "state": "OK",
            "postal_code": "748834015",
            "telephone_number": "405-452-5400",
            "fax_number": "405-452-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEFFANEE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "57663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002616020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFFANEE",
            "last_name": "STOCKTON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cari L Curtis, P.T.
• Cypress Place Living Center, LLC
• Andrea Davis, PA
• East Central Oklahoma Family Health Center, Inc. (ECO Family Health Center, Mobile Unit)
• East Central Oklahoma Family Health Center, Inc. (East Central Oklahoma Family Health Center, Inc. Pharmacy)
• Sandra J Golden, MPH,BHRS
• Rebecca Helms, APRN
• Stephane Lynn Judd
• Rachel Lindemann, LPC, LADC
• Maple Place Living Center, LLC (Maple Place)

• Nurse Practitioner in Wetumka, OK
• Providers in Wetumka, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.