Individual provider Active NPI

Dionna Stephens

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1457898058
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.148947.MEDS-IV Issued in OH
Practice address
1430 S High St
Columbus, OH 43207-1045
Phone
(614) 445-8131
NPI assigned
Jan 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.148947.MEDS-IV OH Primary
Licensed Practical Nurse 164W00000X 148947 OH

Addresses

Primary practice location

1430 S High St
Columbus, OH 43207-1045

Mailing address

1791 Alum Creek Dr
Columbus, OH 43207-1757
Phone (614) 445-8131

Other practice location 1

2624 Lexington Ave
Springfield, OH 45505
Phone (937) 328-5300

Other practice location 2

1101 E High St
Springfield, OH 45505-1121
Phone (937) 328-5300

Other practice location 3

201 N Yellow Springs St
Springfield, OH 45504-2650
Phone (833) 510-4357

Other identifiers 1

IdentifierTypeStateIssuer
0209292MedicaidOH

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

LicenseStateTypeSpecialty
148947OHMDLicensed Practical Nurse
LPN.148947.MEDS-IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1484956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1457898058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071757",
            "telephone_number": "614-445-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071045",
            "telephone_number": "614-445-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "45505",
            "country_code": "US",
            "telephone_number": "937-328-5300",
            "fax_number": "937-322-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 E High St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051121",
            "country_code": "US",
            "telephone_number": "937-328-5300",
            "fax_number": "937-322-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Yellow Springs St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042650",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DIONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.148947.MEDS-IV",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "148947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.