Individual provider Active NPI

Stephanie Jill Tewksbury, N.P.

  • Acute Care Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1285949941
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
054080-23 Issued in NH
Practice address
172 Kinsley St
Nashua, NH 03060-3648
Phone
(603) 882-3000
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 251133 MA
Acute Care Nurse Practitioner 363LA2100X 054080-23 NH Primary

Addresses

Primary practice location

172 Kinsley St
Nashua, NH 03060-3648

Mailing address

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000178 NH Practitioner - Nurse Practitioner 5698914984 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251133MAMDNeurology Physician
054080-23NHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Apr 1, 2013 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Apr 1, 2013 Accepting new patients

Locations

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1285949941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648",
            "telephone_number": "603-882-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648",
            "telephone_number": "603-882-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWKSBURY",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "251133",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "054080-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.