Jessica Dawn St Clair Stepanek

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.14760-NP Issued in OH

Practice address

25200 Center Ridge Rd
Suite 3400
Westlake, OH 44145-4141

Phone

(440) 331-4646

Fax

(440) 331-3197

NPI assigned

Jul 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Dawn Mitchell Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

State licenses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1144661984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 PARMA PARK BLVD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304204",
            "telephone_number": "216-832-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD",
            "address_2": "SUITE 3400",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454141",
            "telephone_number": "440-331-4646",
            "fax_number": "440-331-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIR STEPANEK",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.14760-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MITCHELL",
            "middle_name": "DAWN",
            "credential": "MSN, APRN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Spisak, M.A.
• Jessica Jamey Spooner, PHARMD
• Matthew Sprague, PT
• Michael D Springer, MD
• Heather B Spuhler
• Matthew Charles St Jean, DO
• Christopher Robert Stahr, LICDC, LISW
• Matthew Stanley, PH.D
• Mylena Stark
• Starlight NP LLC

• Adult Health Nurse Practitioner in Westlake, OH
• Providers in Westlake, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.