Individual provider Active NPI

Stefany Kristine Harvey, FNP-C

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1376115782
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021095 Issued in TX
Practice address
4909 North St Ste 202
Nacogdoches, TX 75965-1808
Phone
(936) 590-0636
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 1021095 TX Primary

Addresses

Primary practice location

4909 North St Ste 202
Nacogdoches, TX 75965-1808

Mailing address

113 Boulder LN
Nacogdoches, TX 75965-7002
Phone (936) 590-0636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821003207 TX Practitioner - Nurse Practitioner 4486016599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

4909 N St
Nacogdoches, TX 75965-1800
Phone (936) 560-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Apr 21, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Urgent Health Solutions Nacogdoches CurrentSince Jul 25, 2021 Accepting new patients
Urgent Health Solutions, PLLC CurrentSince Jun 1, 2023 Accepting new patients
TMC Provider Group, PLLC Current Accepting new patients
TMC Provider Group, PLLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

4909 North St
Nacogdoches, TX 75965
Phone (936) 560-9898

4909 North St
Ste 202
Nacogdoches, TX 75965
Phone (936) 560-9898

8465 Memorial Blvd
Ste 300
Port Arthur, TX 77640
Phone (409) 344-4220

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 6

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1376115782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BOULDER LN",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759657002",
            "telephone_number": "936-590-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 NORTH ST STE 202",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651808",
            "telephone_number": "936-590-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "STEFANY",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.