Active NPI
Stephanie Diane Ten Eyck, NP-C
- Family Nurse Practitioner
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 18
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33250 | TN | MD | Pharmacist |
| C-APN.004478-C-NP | CO | MD | Family Nurse Practitioner |
| GAA-NP000127 | GA | MD | Family Nurse Practitioner |
| APRN-4120 | HI | MD | Family Nurse Practitioner |
| 5021249 | NC | MD | Family Nurse Practitioner |
| 0032075 | OH | MD | Family Nurse Practitioner |
| 10002819 | OR | MD | Family Nurse Practitioner |
| SP032494 | PA | MD | Family Nurse Practitioner |
| 30145 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| Devoted Medical Group of Texas Inc | Current | Accepting new patients | |
| Circle Medical Care Group PA | Current | Accepting new patients | |
| SHC Medical Partners of Florida, LLC | Nurse Practitioner | Current | 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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1982202800
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
AZ, CO, KY, OR, TN, WA
-
dba Abode Care Partners
- Nurse Practitioner
- Pensacola, FL
- NPI 1861677064
-
- Family Medicine Physician
- Miami, FL
- NPI 1669276689
AL, IL, IN, KY, MS, NC, NM, PA, TN, TX, VA, WA
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
AL, FL, IL, KY, MS, NC, PA, TN, TX, VA, WA
-
dba Sun Life Family Health Center-Florence
- Federally Qualified Health Center (FQHC)
- Florence, AZ
- NPI 1902278252
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.