Stephanie Paige Jones Friedstrom, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0027917 Issued in OH

Practice address

10422 Konstantine LN
Loveland, OH 45140-6693

Phone

(513) 503-7274

NPI assigned

Mar 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Venvisor Health Ohio LLCGroup PAC ID 1456780824, 12 clinicians

Impact Physician Group Ohio LLCGroup PAC ID 6608288162, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Impact Physician Group, Ohio LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1063078749
  Medicare reassignment Care Compare group NPD
• Venvisor Health Ohio LLC

  • Nurse Practitioner
  • Dublin, OH
  • NPI 1841827938
  Medicare reassignment Care Compare group
• Geriatric Providers and Hospitalists Inc

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1578687687
  Medicare reassignment NPD
• Midwest Hospitalists, Inc

  • Hospitalist Physician
  • Blue Ash, OH
  • NPI 1356465439
  NPD (past)

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1629654637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10422 KONSTANTINE LN",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406693",
            "telephone_number": "513-503-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10422 KONSTANTINE LN",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406693",
            "telephone_number": "513-503-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES FRIEDSTROM",
        "first_name": "STEPHANIE",
        "middle_name": "PAIGE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "0027917",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0027917",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0027917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Rotella D.D.S., Inc.
• Cassandra Jewell
• JK Wellness Centers Inc
• Bradley Jodice
• John P.Gates DDS Inc.
• Camala Jones
• Judith Johnson Jones
• Blake Jordan
• Claire Jordan
• Lea Elina Jordan, CNP

• Acute Care Nurse Practitioner in Loveland, OH
• Providers in Loveland, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.

Verify at the official NPI Registry.