Individual provider Active NPI

Deborah Darlene Stonefield, CFNP

  • Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1659508612
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R623814 Issued in MS
Practice address
2313 Highway 15 N
Laurel, MS 39440-1805
Phone
(601) 649-2775
Fax
(601) 649-2686
NPI assigned
Jun 17, 2009
Last updated
Feb 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R623814 MS Primary

Addresses

Primary practice location

2313 Highway 15 N
Laurel, MS 39440-1805

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 649-2775

Other identifiers 1

IdentifierTypeStateIssuer
01178221MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20091013000662 MS Practitioner - Nurse Practitioner 3678619186 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R623814MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Presbyterian Medical Services CurrentSince Jan 10, 2022 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 10, 2022 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jul 6, 2011 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jul 6, 2011 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Hattiesburg Clinic PA Past Accepting new patients

Locations

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Interoperability endpoints

  • Direct secure messaging: darlene.stonefield@fhcc.eclinicaldirectplus.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1659508612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-649-2775",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 HIGHWAY 15 N",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401805",
            "telephone_number": "601-649-2775",
            "fax_number": "601-649-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEFIELD",
        "first_name": "DEBORAH DARLENE",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R623814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.