Individual provider Active NPI

Stephanie Jean Sealy, NP

  • Family Nurse Practitioner
  • Prosper, TX
National Provider Identifier
1427560606
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
135524 Issued in TX
Practice address
221 N Preston Rd Ste a
Prosper, TX 75078-8653
Phone
(469) 750-2277
NPI assigned
Oct 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 135524 TX Primary

Addresses

Primary practice location

221 N Preston Rd Ste a
Prosper, TX 75078-8653

Mailing address

221 N Preston Rd Ste a
Prosper, TX 75078-8653
Phone (469) 750-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171228000011 TX Practitioner - Nurse Practitioner 0345508115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Vein CareGroup PAC ID 9335564483, 4 clinicians

Practice addresses (Care Compare)

301 N Preston Rd
Suite D
Prosper, TX 75078-8878
Phone (760) 315-0832

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Vein Care CurrentSince Sep 27, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 11, 2017 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 11, 2017 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

915 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (214) 420-7633

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

8995 Stacy Rd
McKinney, TX 75070
Phone (972) 569-9423

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

301 N Preston Rd
Ste D
Prosper, TX 75078
Phone (760) 315-0832

221 N Preston Rd
Ste A
Prosper, TX 75078
Phone (469) 750-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJBCD/Endpoint/JEJBCD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1427560606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N PRESTON RD STE A",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788653",
            "telephone_number": "469-750-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N PRESTON RD STE A",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788653",
            "telephone_number": "469-750-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALY",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-28",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "135524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.