Individual provider Active NPI

Stephanie D Varner, CPNP

  • Pediatric Nurse Practitioner
  • Talladega, AL
National Provider Identifier
1285802496
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9320338 Issued in FL
Practice address
801 North St E
Talladega, AL 35160-2529
Phone
(256) 362-3005
Fax
(256) 531-9443
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9320338 FL Primary

Addresses

Primary practice location

801 North St E
Talladega, AL 35160-2529

Mailing address

801 North St E
Talladega, AL 35160-2529
Phone (256) 362-3005

Other practice location 1

1508 Cogswell Ave
Pell City, AL 35125-1243
Phone (205) 338-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127002475 AL Practitioner - Nurse Practitioner 0840460895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Care, LLC CurrentSince Mar 1, 2021 Accepting new patients
Pediatric Care of Chelsea, LLC CurrentSince Jan 19, 2023 Accepting new patients

Locations

15582 Highway 280
Ste 106
Chelsea, AL 35043
Phone (205) 678-3924

15582 Highway 280
Ste 110
Chelsea, AL 35043
Phone (205) 218-8987

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1285802496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-362-3005",
            "fax_number": "256-531-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-362-3005",
            "fax_number": "256-531-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Cogswell Ave",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351251243",
            "country_code": "US",
            "telephone_number": "205-338-7866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNER",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9320338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.