Stephanie Shults, BSN, CDCES

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1121781 Issued in VA

Practice address

16337 Antioch Rd
Milford, VA 22514-2105

Phone

(615) 713-9549

NPI assigned

Mar 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Benson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1316748627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015226",
            "telephone_number": "615-713-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16337 ANTIOCH RD",
            "city": "MILFORD",
            "state": "VA",
            "postal_code": "225142105",
            "telephone_number": "615-713-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTS",
        "first_name": "STEPHANIE",
        "credential": "BSN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VA",
            "license": "32308345",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "1121781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BENSON",
            "credential": "BSN, CMSRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Milford, VA
• Providers in Milford, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.