Stefanie Taylor Christy, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R889351 Issued in MS

Practice address

3654B New Hope Rd
Columbus, MS 39702-8521

Phone

(662) 329-1488

Fax

(662) 329-1440

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stefanie.christy.1@17762.direct.athenahealth.com

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

• Dutch Medical Clinics, Inc

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment NPD
• Dutch Medical Clinics, Inc.

  • Family Medicine Physician
  • Columbus, MS
  • NPI 1639681976
  NPD (past)

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1386020113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025500",
            "telephone_number": "662-329-3808",
            "fax_number": "662-329-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654B NEW HOPE RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397028521",
            "telephone_number": "662-329-1488",
            "fax_number": "662-329-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "STEFANIE",
        "middle_name": "TAYLOR",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R889351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chosen 2 Care Medical Center Inc
• W. Dean Chow, D.D.S., P.A.
• Chris Pharmacy LLC
• Chris Specialty Pharmacy and Home Delivery
• Chris' Pharmacy and Sons Too
• Jeronia Clark
• Melissa Beth Clark, MPT
• Reonee Shanta Clark
• Steven Bradley Clark, MPT
• Tavaraes Lashun Clark Jr.

• Pediatric Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.