Individual provider Active NPI

Emily Jane Stephens, CNP

  • Family Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1417206293
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.13697-NP Issued in OH
Practice address
1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899
Phone
(740) 333-3333
Fax
(740) 333-5171
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 COA.13697-NP OH Primary

Addresses

Primary practice location

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899

Mailing address

1450 Columbus Ave Ste B 6-7-8
Washington Court House, OH 43160-3701
Phone (740) 333-3333

Other identifiers 1

IdentifierTypeStateIssuer
0072199MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilystephens@fchms.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20121003000862 OH Practitioner - Nurse Practitioner 5294984415 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13697-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC CurrentSince May 2, 2021 Accepting new patients

Locations

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1450 Columbus Ave
Ste 103
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2243

1450 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 335-2654

1450 Columbus Ave
Ste 104
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2236

1510 Columbus Ave
Ste 230
Wshngtn Ct Hs, OH 43160
Phone (740) 333-3333

1450 Columbus Ave
Ste B
Wshngtn Ct Hs, OH 43160

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

Interoperability endpoints

  • Direct secure messaging: estephens@yourcarecommunity.org
  • Direct secure messaging: estephens1061409@direct.osumc.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1417206293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE STE B 6-7-8",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13697-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072199",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilystephens@fchms.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.