Individual provider Active NPI

Stephanie Westenberg, DNP

  • Pediatric Nurse Practitioner
  • Flint, MI
National Provider Identifier
1487184362
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704289674 Issued in MI
Practice address
806 Tuuri PL
Flint, MI 48503-2465
Phone
(810) 237-7572
Fax
(810) 237-7567
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704289674 MI Primary

Addresses

Primary practice location

806 Tuuri PL
Flint, MI 48503-2465

Mailing address

1083 Suncrest Dr Ste a
Lapeer, MI 48446-4421
Phone (810) 245-9700

Other practice location 1

2561 Elizabeth Lake Rd
Waterford, MI 48328-3313
Phone (248) 682-3300

Other practice location 2

2561 Elizabeth Lake Rd
Waterford, MI 48328-3313
Phone (248) 682-3300

Other practice location 3

1083 Suncrest Dr Ste A
Lapeer, MI 48446-4421
Phone (810) 245-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250310002025 MI Practitioner - Nurse Practitioner 6800317694 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mott Children'S Health Center CurrentSince Dec 5, 2024 Accepting new patients
Devyani Khambete, M.D.,P.C. Past Accepting new patients

Locations

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

Interoperability endpoints

  • Direct secure messaging: stephanie.westenberg@mottchc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487184362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 SUNCREST DR STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464421",
            "telephone_number": "810-245-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 TUURI PL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032465",
            "telephone_number": "810-237-7572",
            "fax_number": "810-237-7567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 Elizabeth Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283313",
            "country_code": "US",
            "telephone_number": "248-682-3300",
            "fax_number": "248-682-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 Elizabeth Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283313",
            "country_code": "US",
            "telephone_number": "248-682-3300",
            "fax_number": "248-682-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1083 Suncrest Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484464421",
            "country_code": "US",
            "telephone_number": "810-245-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTENBERG",
        "first_name": "STEPHANIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704289674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.