Individual provider Active NPI

Stephanie M Heflin, R.N, ANP-C

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1104136316
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
249415 Issued in TX
Practice address
10497 Town and Country Way
Suite 360
Houston, TX 77024-1143
Phone
(713) 341-2100
Fax
(713) 932-7072
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 249415 TX
Adult Health Nurse Practitioner 363LA2200X 249415 TX Primary

Addresses

Primary practice location

10497 Town and Country Way
Suite 360
Houston, TX 77024-1143

Mailing address

10497 Town and Country Way
Suite 360
Houston, TX 77024-1143
Phone (713) 341-2100

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
249415TXMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1104136316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10497 TOWN AND COUNTRY WAY",
            "address_2": "SUITE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241143",
            "telephone_number": "713-341-2100",
            "fax_number": "713-932-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10497 TOWN AND COUNTRY WAY",
            "address_2": "SUITE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241143",
            "telephone_number": "713-341-2100",
            "fax_number": "713-932-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "R.N, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "249415",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "249415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.