NPIMap

Individual provider Active NPI

Stephanie Maria Vanlandingham, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1336535228
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TL0006932 Issued in CO
Practice address
2350 International Cir
Colorado Springs, CO 80910-3139
Phone
(719) 475-5065
Fax
(719) 475-5797
NPI assigned
Apr 8, 2015
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X TL0006932 CO Primary

Addresses

Primary practice location

2350 International Cir
Colorado Springs, CO 80910-3139

Mailing address

2350 International Cir
Colorado Springs, CO 80910-3139
Phone (719) 475-5065

Other practice location 1

1600 23rd Ave
Greeley, CO 80634-6070
Phone (970) 810-2424

Other practice location 2

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600

Other names 1

  • Stephanie Maria Streufert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722003505 CO Practitioner - Family Practice 6901195445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agewell Medical Associates PCGroup PAC ID 8527164466, 6 clinicians

Practice addresses (Care Compare)

2350 International Cir
Colorado Springs, CO 80910-3139
Phone (719) 475-5065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL0006932COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agewell Medical Associates, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

2350 International Cir
Colorado Springs, CO 80910
Phone (719) 475-5065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1336535228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103139",
            "telephone_number": "719-475-5065",
            "fax_number": "719-475-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103139",
            "telephone_number": "719-475-5065",
            "fax_number": "719-475-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346070",
            "country_code": "US",
            "telephone_number": "970-810-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575147",
            "country_code": "US",
            "telephone_number": "773-975-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANLANDINGHAM",
        "first_name": "STEPHANIE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0006932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "STREUFERT",
            "middle_name": "MARIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.