Active NPI
Shana Marie Stewart, NP
- Nurse Practitioner
- Covington, KY
National Provider Identifier
1497084610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3006946
- Practice address
- 100 Magellan Way
Covington, KY 41015-1987 - Phone
- (859) 386-3000
- Fax
- (859) 795-9369
- NPI assigned
- Dec 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3006946 | KY | Primary |
Addresses
Primary practice location
100 Magellan Way
Covington, KY 41015-1987
Mailing address
100 Magellan Way
Covington, KY 41015-1987
Phone (859) 386-3000
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006946 | KY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1497084610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAGELLAN WAY",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410151987",
"telephone_number": "859-386-3000",
"fax_number": "859-759-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAGELLAN WAY",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410151987",
"telephone_number": "859-386-3000",
"fax_number": "859-795-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SHANA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3006946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.