Active NPI
Stephanie Nicole Raymond, R.D.H.
- Dental Hygienist
- Roanoke, TX
National Provider Identifier
1255455671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 12361
- Practice address
- 200 E State Hwy 114
Roanoke, TX 76262 - Phone
- (817) 567-8040
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12361 | TX | Primary |
Addresses
Primary practice location
200 E State Hwy 114
Roanoke, TX 76262
Mailing address
6413 Townsend LN
Plano, TX 75024-5226
Phone (214) 404-8224
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12361 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255455671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6413 TOWNSEND LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750245226",
"telephone_number": "214-404-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E STATE HWY 114",
"city": "ROANOKE",
"state": "TX",
"postal_code": "76262",
"telephone_number": "817-567-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "12361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, TX
- Psychology Care Associates PLLC
- Q. D. Nguyen PLLC
- Valerie R Quinn, PMHNP
- Randolph R West DDS PLLC (West Dental Care)
- Monica L Randolph-Graham, PSYD, LPC-S
- Rediclinic US, LLC (Rediclinic)
- Elena Riedo, PSY.D.
- Alejandra Cristina Rivas, DDS
- RLS Supermarkets LLC (Minyard Pharmacy #49)
- Roanoke Dental Group,PC (Roanoke Dental Group and Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.