Individual provider Active NPI

Jennifer Katsu Stebbing, DO

  • Sports Medicine (Family Medicine) Physician
  • Portsmouth, NH
National Provider Identifier
1275636235
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
11642 Issued in NH
Practice address
1 Greenleaf Woods Dr Unit 102
Portsmouth, NH 03801-5437
Phone
(603) 436-0220
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 11642 NH Primary

Addresses

Primary practice location

1 Greenleaf Woods Dr Unit 102
Portsmouth, NH 03801-5437

Mailing address

380 Sagamore Rd
Rye, NH 03870-2055
Phone (215) 630-5935

Other practice location 1

380 Sagamore Rd
Rye, NH 03870-2055
Phone (603) 373-8309

Other identifiers 1

IdentifierTypeStateIssuer
11642OtherNHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000778 NH Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Sports Medicine 6800845611 Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer K Stebbing DO LLC Sports Medicine Past Accepting new patients
Huggins Hospital Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275636235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SAGAMORE RD",
            "city": "RYE",
            "state": "NH",
            "postal_code": "038702055",
            "telephone_number": "215-630-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-436-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Sagamore Rd",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NH",
            "postal_code": "038702055",
            "country_code": "US",
            "telephone_number": "603-373-8309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEBBING",
        "first_name": "JENNIFER",
        "middle_name": "KATSU",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NH",
            "license": "11642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11642",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.