Supreme Diabetes Management and Weight Loss Telehealth

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SUPREME DIABETES MANAGEMENT AND WEIGHT LOSS TELEHEALTH

Practice address

920 Salinger Dr
Lithopolis, OH 43136-7505

Phone

(740) 851-1325

Fax

(740) 835-4850

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Leann Stepherson, CNPNPI 1184864035

Title

Manager

Phone

(740) 851-1325

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica L Stepherson, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1184864035
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1285386771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SALINGER DR",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "431367505",
            "telephone_number": "740-851-1325",
            "fax_number": "740-835-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SALINGER DR",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "431367505",
            "telephone_number": "740-851-1325",
            "fax_number": "740-835-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME DIABETES MANAGEMENT AND WEIGHT LOSS TELEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "STEPHERSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "740-851-1325",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Pontius, PT
• Emily Lynn Randall, LAT, ATC
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• Catherine Rose Sheridan, M.A. CCC-SLP
• Kenny Stmarc
• Faakhirah B Williams, LPN
• Yourway Home Care Agency LLC

• Nurse Practitioner in Lithopolis, OH
• Providers in Lithopolis, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.