Active NPI
Stephanie Danielle Monroe, FNP-BC
- Nurse Practitioner
- Ridgeland, MS
National Provider Identifier
1164747986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R853601
- Practice address
- 297 Highway 51 Ste B
Ridgeland, MS 39157-3423 - Phone
- (601) 707-5381
- Fax
- (601) 707-5382
- NPI assigned
- Apr 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R853601 | MS | |
| Nurse Practitioner | 363L00000X | R853601 | MS | Primary |
Addresses
Primary practice location
297 Highway 51 Ste B
Ridgeland, MS 39157-3423
Mailing address
297 Highway 51 Ste B
Ridgeland, MS 39157-3423
Phone (601) 707-5381
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12085911 | Other | MS | CAQH |
| 02482207 | Medicaid | MS |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Pediatric Associates | Past | Accepting new patients | |
| Jackson Pediatric Associates P a | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Ridgeland, MS
- NPI 1457484594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1164747986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 HIGHWAY 51 STE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573423",
"telephone_number": "601-707-5381",
"fax_number": "601-707-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 HIGHWAY 51 STE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573423",
"telephone_number": "601-707-5381",
"fax_number": "601-707-5382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "STEPHANIE",
"middle_name": "DANIELLE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R853601",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R853601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12085911",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02482207",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.