Active NPI
Sanjanique Stephens, RN
- Registered Nurse
- Waldorf, MD
National Provider Identifier
1215826953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 204457
- Practice address
- PO Box 141
Waldorf, MD 20604-0141 - Phone
- (720) 917-4208
- NPI assigned
- Jun 30, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 204457 | CO | Primary |
Addresses
Primary practice location
PO Box 141
Waldorf, MD 20604-0141
Mailing address
PO Box 141
Waldorf, MD 20604-0141
Phone (720) 917-4208
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204457 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Loving Touch LLC | Current | Accepting new patients | |
| Ohana Residential LLC | Current | 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 and National Provider Directory roles.
-
- Home Health Agency
- Parker, CO
- NPI 1740990449
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Aurora, CO
- NPI 1508743972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1215826953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "WALDORF",
"state": "MD",
"postal_code": "206040141",
"telephone_number": "720-917-4208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "WALDORF",
"state": "MD",
"postal_code": "206040141",
"telephone_number": "720-917-4208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "SANJANIQUE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "204457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.