Active NPI
Stephanie A Beamer, CRNP
- Women's Health Nurse Practitioner
- Bellefonte, PA
National Provider Identifier
1407901960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP009276
- Practice address
- 240 Match Factory PL
Bellefonte, PA 16823-1366 - Phone
- (814) 355-2762
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP009276 | PA | Primary |
Addresses
Primary practice location
240 Match Factory PL
Bellefonte, PA 16823-1366
Mailing address
240 Match Factory PL
Bellefonte, PA 16823-1366
Phone (814) 355-2762
Other names 1
- Stephanie A Petrillo
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Council of Central PA, Inc. | Past | Accepting new patients | |
| Family Health Council of Central PA Inc | Women'S Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Women's Health Nurse Practitioner
- Bellefonte, PA
- NPI 1629329305
-
- Public Health or Welfare Agency
- Bellefonte, PA
- NPI 1891780870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407901960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MATCH FACTORY PL",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168231366",
"telephone_number": "814-355-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MATCH FACTORY PL",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "168231366",
"telephone_number": "814-355-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMER",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP009276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "PETRILLO",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellefonte, PA
- Margaret Zeigler Archer, LPN
- Emily Jane Aukes-Janoscrat, PHDHP
- Jacqueline Michelle Barnard, MSW, LSW
- Bathgate Chiropractic PC
- Jesse Bathgate, DC
- Jessica Elyse Beattie, PHARMD
- Bellefonte Area School District
- Bellefonte Emergency Medical Services
- Bellefonte Medical Clinic P.C.
- Benner Pike Chiropractic Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.