Active NPI
Stephanie Andrade
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007591
- Practice address
- 6486 Friars Rd Apt 104
San Diego, CA 92108-1029 - Phone
- (978) 604-6703
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007591 | CA | Primary |
Addresses
Primary practice location
6486 Friars Rd Apt 104
San Diego, CA 92108-1029
Mailing address
6486 Friars Rd Apt 104
San Diego, CA 92108-1029
Phone (978) 604-6703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
88 Harbor Dr
Saco, ME 04072-2148
Phone (207) 283-3646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007591 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Current | Accepting new patients | |
| Appledore Medical Group Dba Woodbury Family Practice | Current | Accepting new patients | |
| Urgent Help Chelmsford PC | Current | Accepting new patients | |
| Advantage Surgical and Wound Care Massachusetts PC | Current | Accepting new patients | |
| Urgent Help Chelmsford PC | Current | Accepting new patients | |
| Appledore Medical Group, Inc | Current | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
3232 Thunder Dr
Oceanside, CA 92056
Phone (760) 724-2193
1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811
199 Concord Rd
Billerica, MA 01821
Phone (781) 369-9876
45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515
113 Low St
Newburyport, MA 01950
Phone (978) 462-7373
204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100
370 Portland St
Yarmouth, ME 04096
Phone (207) 846-9021
442 Main St
Fremont, NH 03044
Phone (603) 895-3126
25 New Hampshire Ave
Ste 100
Portsmouth, NH 03801
Phone (603) 431-2516
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 6
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.
-
- Surgery Physician
- Revere, MA
- NPI 1164039152
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
-
- Urgent Care Clinic/Center
- Chelmsford, MA
- NPI 1811440381
-
- Family Medicine Physician
- Newington, NH
- NPI 1225232184
-
- Urgent Care Clinic/Center
- Braintree, MA
- NPI 1639751779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1295248920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6486 FRIARS RD APT 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081029",
"telephone_number": "978-604-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6486 FRIARS RD APT 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081029",
"telephone_number": "978-604-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.