Individual provider Active NPI

Stephanie Ann Annarumo-Bailey, FNP-C

  • Family Nurse Practitioner
  • Ellwood City, PA
National Provider Identifier
1568976322
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10170990 Issued in PA
Practice address
724 Pershing St
Ellwood City, PA 16117-1474
Phone
(724) 752-0081
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10170990 PA Primary

Addresses

Primary practice location

724 Pershing St
Ellwood City, PA 16117-1474

Mailing address

925 Grandview St
Ellwood City, PA 16117-3105

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

LicenseStateTypeSpecialty
F10170990PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: stephanieannarumo-bailey@hvhs.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1568976322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 GRANDVIEW ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161173105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-752-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNARUMO-BAILEY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "F10170990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.