Active NPI
Mary K Stephenson
- Case Manager/Care Coordinator
- Medina, OH
National Provider Identifier
1376019125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 801 E Washington St Ste 150
Medina, OH 44256-3336 - Phone
- (330) 722-1069
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
801 E Washington St Ste 150
Medina, OH 44256-3336
Mailing address
358 E Park Ave
Barberton, OH 44203-3339
Phone (440) 538-8763
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1376019125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 E PARK AVE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442033339",
"telephone_number": "440-538-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E WASHINGTON ST STE 150",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563336",
"telephone_number": "330-722-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "MARY",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.