Active NPI
Stephanie Dawn Maar, ARNP
- Family Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1124540729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60763389
- Practice address
- 34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726 - Phone
- (253) 835-5340
- Fax
- (253) 274-7993
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60763389 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP60763389 | WA |
Addresses
Primary practice location
34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726
Mailing address
34503 9TH Ave S Ste 130
Federal Way, WA 98003-8726
Phone (253) 835-5340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2096340 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smaar258630@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
- Grande Ronde Hospital
- Saint Alphonsus Medical Center - Nampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Gastroenterology Associates, LLP | Current | Accepting new patients | |
| Southern Idaho Health Partners LLC | Past | Accepting new patients |
Locations
425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702
875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458
2235 E Gala St
Meridian, ID 83642
Phone (208) 489-1431
1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458
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.
-
- Gastroenterology Physician
- Boise, ID
- NPI 1265427256
-
- General Practice Physician
- Meridian, ID
- NPI 1952701401
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1124540729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34503 9TH AVE S STE 130",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038726",
"telephone_number": "253-835-5340",
"fax_number": "253-274-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34503 9TH AVE S STE 130",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038726",
"telephone_number": "253-835-5340",
"fax_number": "253-274-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAAR",
"first_name": "STEPHANIE",
"middle_name": "DAWN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60763389",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60763389",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2096340",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smaar258630@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34503 9th Ave S Ste 130",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980038726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.