Individual provider Active NPI

Stephanie Diane Ten Eyck, NP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1487043923
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7670 Issued in AZ
Practice address
1055 Howell Mill Rd NW
Atlanta, GA 30318-5557
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X GAA-NP000127 GA
Family Nurse Practitioner 363LF0000X 2024035289 MO
Family Nurse Practitioner 363LF0000X AP61601534 WA
Family Nurse Practitioner 363LF0000X APRN-4120 HI
Family Nurse Practitioner 363LF0000X 4027630 KY
Family Nurse Practitioner 363LF0000X 10002819 OR
Family Nurse Practitioner 363LF0000X SP032494 PA
Family Nurse Practitioner 363LF0000X 0032075 OH
Family Nurse Practitioner 363LF0000X 5021249 NC
Family Nurse Practitioner 363LF0000X 33250 TN
Family Nurse Practitioner 363LF0000X 1046809 TX
Family Nurse Practitioner 363LF0000X 30145 SC
Family Nurse Practitioner 363LF0000X APRN11003523 FL
Family Nurse Practitioner 363LF0000X AP7670 AZ Primary
Family Nurse Practitioner 363LF0000X C-APN.004478-C-NP CO

Addresses

Primary practice location

1055 Howell Mill Rd NW
Atlanta, GA 30318-5557

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dm-practice-management@devoted.com Direct Devoted Medical Group Professional Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, TN, TX, CO, OR, HI, WA, KY, DC, VA, IN, IL, AL, MS, NM, NC, PA18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
I20150520000843 AZ Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20200820003347 FL Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 5 organizations
I20240423000326 TN Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 3 organizations
I20240429001859 TX Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 3 organizations
I20240429003025 CO Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20240430002566 OR Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20240607001694 HI Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20241003001492 WA Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 3 organizations
I20241226002425 KY Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 3 organizations
I20251016001701 DC Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20260518002197 VA Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations
I20260519001366 IN Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20260520001269 IL Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations
I20260520002423 AL Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations
I20260521002408 MS Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations
I20260521002518 NM Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 1 organization
I20260522002013 NC Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations
I20260526001622 PA Practitioner - Nurse Practitioner 3274853940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33250TNMDPharmacist
C-APN.004478-C-NPCOMDFamily Nurse Practitioner
GAA-NP000127GAMDFamily Nurse Practitioner
APRN-4120HIMDFamily Nurse Practitioner
5021249NCMDFamily Nurse Practitioner
0032075OHMDFamily Nurse Practitioner
10002819ORMDFamily Nurse Practitioner
SP032494PAMDFamily Nurse Practitioner
30145SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince Jun 1, 2022 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Apr 11, 2024 Accepting new patients
Circle Medical Care Group PA CurrentSince Aug 2, 2025 Accepting new patients
SHC Medical Partners of Florida, LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1280 Henley Rd
Middleburg, FL 32068
Phone (904) 257-1993

2801 SW 149th Ave
Ste 100
Miramar, FL 33027

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

1055 Howell Mill Rd NW
Atlanta, GA 30318
Phone (404) 566-6071

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

3200 West End Ave
Nashville, TN 37203
Phone (615) 510-1646

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

555 Andover Park W
Ste 200
Tukwila, WA 98188
Phone (229) 500-6056

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 230-8557

Organizations & group practices 9

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1487043923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HOWELL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185557",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEN EYCK",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000127",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024035289",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61601534",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4120",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4027630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10002819",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021249",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7670",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.004478-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dm-practice-management@devoted.com",
            "affiliation": "Y",
            "endpointDescription": "dm-practice-management@devoted.com",
            "affiliationName": "Devoted Medical Group Professional Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 SW 145th Ave Ste 202",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330276171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.