Individual provider Active NPI

Brenda Lee Stephens, CRNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1346453586
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R151109 Issued in MD
Practice address
438 N Frederick Ave Ste 320
Gaithersburg, MD 20877-2458
Phone
(240) 631-0200
Fax
(240) 631-0300
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R151109 MD Primary

Addresses

Primary practice location

438 N Frederick Ave Ste 320
Gaithersburg, MD 20877-2458

Mailing address

438 N Frederick Ave Ste 320
Gaithersburg, MD 20877-2458
Phone (240) 631-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090506000024 DC Practitioner - Nurse Practitioner 9335297159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

438 N Frederick Ave
Suite 320
Gaithersburg, MD 20877-2574
Phone (240) 631-0200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R151109MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Health & Wellness Consultants CurrentSince Oct 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

438 N Frederick Ave
Ste 320
Gaithersburg, MD 20877
Phone (240) 631-0200

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1346453586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N FREDERICK AVE STE 320",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772458",
            "telephone_number": "240-631-0200",
            "fax_number": "240-631-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 N FREDERICK AVE STE 320",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772458",
            "telephone_number": "240-631-0200",
            "fax_number": "240-631-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R151109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.