Individual provider Active NPI

Stephanie Rose Tippett, NP-C

  • Nurse Practitioner
  • Chester, MD
National Provider Identifier
1083242879
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R161452 Issued in MD
Practice address
2 Chester PLZ
Chester, MD 21619-2418
Phone
(443) 249-3232
Fax
(443) 249-3817
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R161452 MD Primary
Nurse Practitioner 363L00000X 11034980 FL

Addresses

Primary practice location

2 Chester PLZ
Chester, MD 21619-2418

Mailing address

2 Chester PLZ
Chester, MD 21619-2418
Phone (443) 249-3232

Other practice location 1

2440 SE Federal Hwy Ste 600
Stuart, FL 34994-4531
Phone (941) 205-9787

Other practice location 2

530 Andora Dr
Punta Gorda, FL 33950-7849
Phone (941) 205-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11034980FLMDNurse Practitioner
R161452MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Rose LLC CurrentSince Sep 28, 2025 Accepting new patients
Bella Ros Medical Aesthetics & Wellness CurrentSince Dec 7, 2025 Accepting new patients

Locations

2440 SE Federal Hwy
Ste 600
Stuart, FL 34994
Phone (941) 205-9787

2 Chester Plz
Chester, MD 21619
Phone (443) 249-3232

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1083242879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHESTER PLZ",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192418",
            "telephone_number": "443-249-3232",
            "fax_number": "443-249-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHESTER PLZ",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192418",
            "telephone_number": "443-249-3232",
            "fax_number": "443-249-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 SE Federal Hwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944531",
            "country_code": "US",
            "telephone_number": "941-205-9787",
            "fax_number": "443-249-3817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Andora Dr",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339507849",
            "country_code": "US",
            "telephone_number": "941-205-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R161452",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11034980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.