Active NPI
Wendy Carole Cudio Stephens, MD
- Family Medicine Physician
- Alexandria, MN
National Provider Identifier
1184764409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39436
- Practice address
- 418 3Rd Ave E
Alexandria, MN 56308-1573 - Phone
- (320) 762-2311
- Fax
- (320) 762-8942
- NPI assigned
- Feb 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39436 | MN | Primary |
Addresses
Primary practice location
418 3Rd Ave E
Alexandria, MN 56308-1573
Mailing address
418 3Rd Ave E
Alexandria, MN 56308-1573
Phone (320) 762-2311
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112547 | Other | MN | MEDICA |
| 344111014835 | Other | MN | PREFERRED ONE |
| 018LIST | Other | MN | BCBS |
| 018L2ST | Other | MN | BCBS |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Alexandria, MN
- NPI 1760654453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184764409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 3RD AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563081573",
"telephone_number": "320-762-2311",
"fax_number": "320-762-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 3RD AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563081573",
"telephone_number": "320-762-2311",
"fax_number": "320-762-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "WENDY",
"middle_name": "CAROLE CUDIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "39436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0112547",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "344111014835",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "018LIST",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "018L2ST",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.