Individual provider Active NPI

Andrea L Stephens, MD

  • Obstetrics & Gynecology Physician
  • Chesterfield, MO
National Provider Identifier
1447276670
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3P80 Issued in MO
Practice address
226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017-3662
Phone
(314) 542-4953
Fax
(314) 590-5942
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3P80 MO Primary

Addresses

Primary practice location

226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017-3662

Mailing address

226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017-3662
Phone (314) 542-4953

Other practice location 1

1110 Highlands Plaza Dr E Ste 280
Saint Louis, MO 63110-1351
Phone (314) 286-2620

Other identifiers 1

IdentifierTypeStateIssuer
203102710MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3P80MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Louis Connectcare Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: astephens245414@direct.carenet.org

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1447276670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 55W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-542-4953",
            "fax_number": "314-590-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 55W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-542-4953",
            "fax_number": "314-590-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Highlands Plaza Dr E Ste 280",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101351",
            "country_code": "US",
            "telephone_number": "314-286-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R3P80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203102710",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1110 Highlands Plaza Dr E Ste 280",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.