Individual provider Active NPI

Mary Catherine Steffan, NP-C

  • Family Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1366954810
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021923 Issued in OH
Practice address
111 S Memorial Dr
Lancaster, OH 43130-4361
Phone
(740) 653-2631
NPI assigned
Oct 24, 2017
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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 APRN.CNP.021923 OH Primary

Addresses

Primary practice location

111 S Memorial Dr
Lancaster, OH 43130-4361

Mailing address

1405 Standing Stone Way
Lancaster, OH 43130-7630
Phone (419) 434-0522

Other practice location 1

322 W Water St
New Lexington, OH 43764-1479
Phone (740) 343-0450

Other names 1

  • Mary Catherine Shively Former name

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1366954810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 STANDING STONE WAY",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431307630",
            "telephone_number": "419-434-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MEMORIAL DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304361",
            "telephone_number": "740-653-2631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 W Water St",
            "address_purpose": "LOCATION",
            "city": "New Lexington",
            "state": "OH",
            "postal_code": "437641479",
            "country_code": "US",
            "telephone_number": "740-343-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFFAN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SHIVELY",
            "middle_name": "CATHERINE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.