Debra L Stealey, APRN, CNM

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

6165 Issued in MN

Practice address

6565 France Ave S
Suite 200
Edina, MN 55435-2137

Phone

(952) 806-0011

Fax

(952) 806-9741

NPI assigned

Feb 22, 2006

Last updated

Mar 7, 2016By 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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Diamond Women's Center, P.a.

  • Obstetrics & Gynecology Physician
  • Edina, MN
  • NPI 1790873412
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1205801255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "952-806-0011",
            "fax_number": "952-806-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S",
            "address_2": "SUITE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352137",
            "telephone_number": "952-806-0011",
            "fax_number": "952-806-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEALEY",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189740300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "442T7ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP17205",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Stauffer, OTR/L, CHT
• Gayl Bailey Staver, M.A.,L.P.
• Richard Scott Stayner, M.D.
• Gale Stead
• Brent Thomas Steadman, M.D., PH.D.
• Thomas Stealey, MD
• Becky Renee Stealy, DPT
• Haley Stebbing, PA-C
• Michael S. Steele, PAC
• Glen L Steeves, MD

• Obstetrics & Gynecology Nurse Practitioner in Edina, MN
• Providers in Edina, MN by specialty
• Obstetrics & Gynecology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.