NPIMap

Organization Active NPI

Stepping Stones Pediatrics LLC

  • Pediatrics Physician
  • Pueblo, CO
National Provider Identifier
1346400413
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37792 Issued in CO
Legal business name
STEPPING STONES PEDIATRICS LLC
Practice address
1910 Lake Avenue
Pueblo, CO 81004
Phone
(719) 583-2330
Fax
(719) 583-2670
NPI assigned
Jun 12, 2008
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Elizabeth Ann Ehrhardt, MDNPI 1689655409
Title
Owner
Phone
(719) 583-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 37792 CO Primary

Addresses

Primary practice location

1910 Lake Avenue
Pueblo, CO 81004

Mailing address

1910 Lake Avenue
Pueblo, CO 81004
Phone (719) 583-2330

Other identifiers 1

IdentifierTypeStateIssuer
13332261MedicaidCO

National Provider Directory

National Provider Directory

Locations

1619 N Greenwood St
Ste 400
Pueblo, CO 81003
Phone (719) 583-2330

1910 Lake Ave
Pueblo, CO 81004
Phone (719) 582-1489

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1346400413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 LAKE AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-583-2330",
            "fax_number": "719-583-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 LAKE AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-583-2330",
            "fax_number": "719-583-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-07-26",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "EHRHARDT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-583-2330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "37792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13332261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.