Stephanie Van Ert, NNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

AP118308 Issued in TX

Practice address

700 E Marshall Ave
Nicu
Longview, TX 75601-5580

Phone

(903) 315-2069

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Christus Good Shepherd Medical Center

  • Anesthesiology Physician
  • Marshall, TX
  • NPI 1760908404

  Neonatal

  Medicare reassignment NPD
• Regional Clinics of Longview

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1407047863
  Medicare reassignment NPD
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  NPD

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1346574480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2701",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062701",
            "telephone_number": "903-315-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MARSHALL AVE",
            "address_2": "NICU",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015580",
            "telephone_number": "903-315-2069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 4th St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055128",
            "country_code": "US",
            "telephone_number": "903-232-3765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ERT",
        "first_name": "STEPHANIE",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "AP118308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Usher
• David Vaca Jr., D.D.S.
• Khashayar Kash Vahdat, M.D.
• Valerieanne and Floyd, Inc.
• Julia B Van Burkleo, MD
• Sarah Kristine Van Reenen, FNP
• Donald Joe Van Sandt, O.D.
• Stephanie Vana
• Jamie G. Vanbiber, MAMFT, LPC
• Shonna Vance, LCSW

• Neonatal Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.