Active NPI
Stephanie Renee York, NP-C
- Family Nurse Practitioner
- Grafton, OH
National Provider Identifier
1346738432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 021935
- Practice address
- 2075 Avon Belden Rd
Grafton, OH 44044-9805 - Phone
- (440) 748-1049
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 021935 | OH | Primary |
Addresses
Primary practice location
2075 Avon Belden Rd
Grafton, OH 44044-9805
Mailing address
2075 Avon Belden Rd
Grafton, OH 44044-9805
Phone (440) 748-1049
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F10170308 | Other | OH | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD |
| 021935 | Other | OH | OHIO BOARD OF NURSING-NP |
| 405315 | Other | OH | OHIO BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021935 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1346738432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 AVON BELDEN RD",
"city": "GRAFTON",
"state": "OH",
"postal_code": "440449805",
"telephone_number": "440-748-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 AVON BELDEN RD",
"city": "GRAFTON",
"state": "OH",
"postal_code": "440449805",
"telephone_number": "440-748-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "STEPHANIE",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "021935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
"identifier": "F10170308",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF NURSING-NP",
"identifier": "021935",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BOARD OF NURSING",
"identifier": "405315",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grafton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.