Stephanie Southwell, RN

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

RN60939398 Issued in WA

Practice address

7604 NE 176TH Ave
Vancouver, WA 98682-2371

Phone

(503) 989-7005

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1407537426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 NE 176TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822371",
            "telephone_number": "503-989-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7604 NE 176TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822371",
            "telephone_number": "503-989-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWELL",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "RN60939398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
• South View by Jaswal PS
• Aruni N. K. Southard
• Lucy C Southerland, M.D.
• Stephen R. Southerland, M.D.
• Southwest GD Dental Corp, PC (dba Gentle Dental)
• Southwest Washington Behavioral Health Regional Support Network (Southwest Washington Behavioral Health)
• Southwest Washington Med Ctr Outpatient Pharmacy
• Southwest Washington Medical Center
• Southwest Washington Medical Center Anticoagulation Clinic

• Geriatric Medicine (Family Medicine) Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Geriatric Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.