Stephannie Cooper Senegal, FNP

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

106380 Issued in NC

Practice address

10 Sunnybrook Road Suite 362
Raleigh, NC 27610-1834

Phone

(919) 212-7210

Fax

(919) 212-7946

NPI assigned

May 14, 2007

Last updated

Jul 10, 2013By the provider in NPPES

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

• Mrs. Stephannie Cooper Senegal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1205041084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 TRILLINGHAM LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133035",
            "telephone_number": "919-212-7210",
            "fax_number": "919-212-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SUNNYBROOK ROAD SUITE 362",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101834",
            "telephone_number": "919-212-7210",
            "fax_number": "919-212-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENEGAL",
        "first_name": "STEPHANNIE",
        "middle_name": "COOPER",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "106380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANNIE",
            "last_name": "SENEGAL",
            "middle_name": "COOPER",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Senior Choice Transportation LLC
• Senior Life Home Care, Inc
• Seniorwell of North Carolina LLC

• Community Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.