Individual provider Active NPI

Sarah Rose Stevens, FNPC

  • Family Nurse Practitioner
  • Grandville, MI
National Provider Identifier
1366991820
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019932 Issued in OH
Practice address
4466 Heritage CT SW
Grandville, MI 49418-2383
Phone
(616) 301-0808
Fax
(616) 301-7887
NPI assigned
Sep 26, 2016
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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.019932 OH Primary

Addresses

Primary practice location

4466 Heritage CT SW
Grandville, MI 49418-2383

Mailing address

4466 Heritage CT SW
Grandville, MI 49418-2383
Phone (616) 301-0808

Other identifiers 1

IdentifierTypeStateIssuer
0193046MedicaidOH

Other names 1

  • Sarah Rose Teegarden Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address steegarden587526@direct.ketteringhealth.org
Direct Messaging Address sstevens913395@direct.sw.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Direct Messaging Address sarahs@NHICwestmi.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Improvement Center PC PastSince Feb 4, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarahs@nhicwestmi.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1366991820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 HERITAGE CT SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182383",
            "telephone_number": "616-301-0808",
            "fax_number": "616-301-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 HERITAGE CT SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182383",
            "telephone_number": "616-301-0808",
            "fax_number": "616-301-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193046",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steegarden587526@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1470 N Broadway St Ste 130",
            "city": "Lebanon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450361762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstevens913395@direct.sw.org",
            "affiliation": "N",
            "address_1": "3600 Gaston Ave Ste 1109",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1470 N Broadway St Ste 130",
            "city": "Lebanon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450361762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarahs@NHICwestmi.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4466 Heritage Ct SW",
            "city": "Grandville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494182383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "TEEGARDEN",
            "middle_name": "ROSE",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.