Stephanie Noel Eggert
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Cincinnati, OH
NPI 1053741702 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1053741702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X
- License
- RN.291517-COA1 (OH)
- Practice address
- 5642 Hamilton Ave
Cincinnati, OH 45224-3114 - Phone
- (513) 636-9900
- Fax
- (513) 803-0823
- NPI assigned
- Nov 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140910001335 | OH | Practitioner - Certified Clinical Nurse Specialist (CNS) | 5496974255 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.291517-COA1 | OH | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Current |
Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
#6015
Cincinnati, OH 45229
Phone (513) 636-0800
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
5642 Hamilton Ave
Cincinnati, OH 45224
Phone (513) 636-0800
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | RN.291517-COA1 | OH | Yes |
Addresses
Primary practice location
5642 Hamilton Ave
Cincinnati, OH 45224-3114
Mailing address
3333 Burnet Ave
ML 6015
Cincinnati, OH 45229-3026
Phone (513) 636-9900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013017823 | Other | ANCC |
Other providers in Cincinnati, OH
- Charles H. Eger
- Stacy Lee Eggemeyer
- Kevin Eggerman
- Samuel J Eggers
- Ashley Eggert
- Tayler Eggleston
- Mirabel Bih Eghombi
- Claire Suzanne Egler
- Gregory Francis Egnaczyk
- Carol L Egner
All providers in Cincinnati, OH · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.