Active NPI
Stefanie A Reed, WHNP
- Women's Health Nurse Practitioner
- Canfield, OH
National Provider Identifier
1417264797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 11805NP
- Practice address
- 4139 Boardman Canfield Rd
Canfield, OH 44406-9034 - Phone
- (330) 702-1372
- Fax
- (330) 702-1287
- NPI assigned
- Sep 8, 2010
- 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 | 11805NP | OH | Primary |
Addresses
Primary practice location
4139 Boardman Canfield Rd
Canfield, OH 44406-9034
Mailing address
4139 Boardman Canfield Rd
Canfield, OH 44406-9034
Phone (330) 702-1372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11805NP | Other | OH | CNP LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11805NP | OH | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1417264797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4139 BOARDMAN CANFIELD RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069034",
"telephone_number": "330-702-1372",
"fax_number": "330-702-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 BOARDMAN CANFIELD RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069034",
"telephone_number": "330-702-1372",
"fax_number": "330-702-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "STEFANIE",
"middle_name": "A",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OH",
"license": "11805NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP LICENSE",
"identifier": "11805NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.