Stephanie Fayne

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209021907 Issued in IL

Practice address

425 Ogden Ave
Downers Grove, IL 60515-3066

Phone

(630) 506-5553

NPI assigned

Aug 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Korwitts Chiropractic PC

  • Chiropractor
  • Downers Grove, IL
  • NPI 1952425084
  Medicare reassignment NPD
• Affinity Chiropractic Center SC

  • Medical Specialty Clinic/Center
  • Libertyville, IL
  • NPI 1619156361
  NPD

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1609489525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153066",
            "telephone_number": "630-506-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153066",
            "telephone_number": "630-506-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulaiman Farooqui, DO
• Lysa Z Farrell, PT
• Elizabeth Fast, RDN, LDN
• Rebecca Ivette Favela, LPC
• Patricia M Favia, PSYCHOLOGIST
• Andrea Feldmar, LCPC
• Natania Feliciano, DNP, FNP-C, BSN, RN
• Patrick Clinton Fenner, MD
• Inga Ferdkoff, R.S.A.
• Lauren Maxon Ferguson, CCC-SLP

• Nurse Practitioner in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.