Stephanie Lee-Blanche Cudjoe, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9942 Issued in TX

Practice address

8951 Collin McKinney Pkwy Ste 502
McKinney, TX 75070-8482

Phone

(972) 214-8579

Fax

(972) 947-5284

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17090/brand/1/csg/1/fhir/r4

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.

• Bloommed, LLC

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1366133290
  NPD Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1265624571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708482",
            "telephone_number": "972-214-8579",
            "fax_number": "972-947-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 COLLIN MCKINNEY PKWY STE 502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750708482",
            "telephone_number": "972-214-8579",
            "fax_number": "972-947-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDJOE",
        "first_name": "STEPHANIE",
        "middle_name": "LEE-BLANCHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F8839",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197529401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edelwina Cruz, LVN
• Mark Luke Dizon Cruz, OTL
• Crystal Mind Psychiatry and Counseling
• Csa Enterprise, Inc.
• Csa Enterprise, Inc.
• Carissa Marie Cullumber, LCSW-S
• Cultiv8 Speech Services, LLC
• Cultivate Connections Therapy, PLLC
• Ashley Corrin Cummings, MS/CCC/SLP
• Sydney Cundiff, PA

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.