Stephanie Kate Buxhoeveden, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173008 Issued in VA

Practice address

220 Executive Center Parkway
Fredericksburg, VA 22401-3395

Phone

(540) 899-2900

Fax

(540) 899-3395

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stephanie Kate Butler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1427426444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EXECUTIVE CENTER PARKWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013395",
            "telephone_number": "540-899-2900",
            "fax_number": "540-899-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EXECUTIVE CENTER PARKWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013395",
            "telephone_number": "540-899-2900",
            "fax_number": "540-899-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUXHOEVEDEN",
        "first_name": "STEPHANIE",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001225567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BUTLER",
            "middle_name": "KATE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryen Lynn Butler, ACNPC-AG
• Ahmed Tariq Butt, M.D.
• Cathie H Butterworth, D.D.S., PC
• Joel Butterworth, DDS
• Anh Butz
• Cynthia Byers, N.P.
• Meghan Nicole Bynum, NP
• Byrne Behavioral Health
• Travis Teague Byrum, MD
• C & J Support Services, LLC

• Family Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.