Active NPI
Stefanie Lynn Defiglia, CRNP
- Family Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1083779920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R162359
- Practice address
- 6095 Marshalee Dr
Suite 100
Elkridge, MD 21075-6053 - Phone
- (410) 379-3532
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R162359 | MD | Primary |
| Family Nurse Practitioner | 363LF0000X | LG0000577 | DE | |
| Family Nurse Practitioner | 363LF0000X | RN1007121 | DC |
Addresses
Primary practice location
6095 Marshalee Dr
Suite 100
Elkridge, MD 21075-6053
Mailing address
29466 Pintail Dr Ste 8
Easton, MD 21601-9324
Phone (443) 496-3050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24086 | Other | DC | CHARTERED HEALTH PLAN |
| 5411 | Other | DC | HEALTH RIGHT, INC. |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230930000220 | MD | Order and Referring Only - Nurse Practitioner | 9032206545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1007121 | DC | MD | Family Nurse Practitioner |
| LG0000577 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Tree Health Associates , LLC | Current | Accepting new patients |
Locations
29466 Pintail Dr
Ste 8
Easton, MD 21601
Phone (443) 496-3050
Organizations & group practices 1
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.
-
dba Two Tree Integrative Health
- Primary Care Clinic/Center
- Easton, MD
- NPI 1588211890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1083779920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29466 PINTAIL DR STE 8",
"city": "EASTON",
"state": "MD",
"postal_code": "216019324",
"telephone_number": "443-496-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6095 MARSHALEE DR",
"address_2": "SUITE 100",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756053",
"telephone_number": "410-379-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFIGLIA",
"first_name": "STEFANIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R162359",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG0000577",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1007121",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARTERED HEALTH PLAN",
"identifier": "24086",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH RIGHT, INC.",
"identifier": "5411",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.