Individual provider Active NPI

Stephanie A Howard, LPN

  • Licensed Practical Nurse
  • Canton, OH
National Provider Identifier
1194495010
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.165767.MEDS-IV Issued in OH
Practice address
308 Whipple Ave NW
Canton, OH 44708-5437
Phone
(330) 934-8214
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.165767.MEDS-IV OH Primary

Addresses

Primary practice location

308 Whipple Ave NW
Canton, OH 44708-5437

Mailing address

4575 Southway St SW
Canton, OH 44706
Phone (330) 477-4511

Other practice location 1

4575 Southway St SW
Canton, OH 44706-1995
Phone (330) 477-4511 ext. 155

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ul.pureohs.com/index/ Health Information Exchange (HIE) Aultman Hospital

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.165767.MEDS-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1194495010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 SOUTHWAY ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44706",
            "telephone_number": "330-477-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085437",
            "telephone_number": "330-934-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4575 Southway St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447061995",
            "country_code": "US",
            "telephone_number": "330-477-4511 x155",
            "fax_number": "330-445-2503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.165767.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ul.pureohs.com/index/",
            "affiliation": "Y",
            "affiliationName": "Aultman Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4650 Hills and Dales Road NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447086221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.