Stephanie Requena

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

184 Clark Point Rd
Southwest Harbor, ME 04679-4414

Phone

(207) 244-4678

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1235801085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046795000",
            "telephone_number": "207-244-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CLARK POINT RD",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794414",
            "telephone_number": "207-244-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUENA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W Norberg, RPH
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• Marta Rieman, MD
• Richard Schamle, LCSW
• Jason Andrew Sedivy, HS
• Southwest Harbor-Tremont Nursing Service, Inc
• Fallyn Hope Spinks

• Independent Duty Corpsman in Southwest Harbor, ME
• Providers in Southwest Harbor, ME by specialty
• Independent Duty Corpsman in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.