Stephanie Conder, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000014880 Issued in TN

Practice address

130 Independence LN
La Follette, TN 37766-3031

Phone

(423) 562-1705

Fax

(423) 566-3718

NPI assigned

Nov 29, 2009

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 TN

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.conder.p1@direct.chetn.nextgenshare.com

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.

• Community Health of East Tennessee, Inc

  • Federally Qualified Health Center (FQHC)
  • La Follette, TN
  • NPI 1750382164
  Medicare reassignment NPD

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

{
    "created_epoch": "1259452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1083942205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663031",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663031",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDER",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-29",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014880",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TN",
            "license": "RN0000128792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006075",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas L Cohen, M.D.
• Dakota Aston Coltharp
• Community Health of East Tennessee, Inc
• Complete Healthcare and Medical Center PLLC
• Complete Healthcare Medical Center
• Amy L Crabtree, LCSW
• Rhonda S. Cross, LCSW
• Cumberland Gap Medical
• Samantha C. Davenport
• Ashley N Davis, COTA/L

• Family Nurse Practitioner in La Follette, TN
• Providers in La Follette, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.