Active NPI
Stephanie Joy Matthew, FNP-C
- Family Nurse Practitioner
- Newberg, OR
National Provider Identifier
1659519676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250150NP
- Practice address
- 414 N. Meridian Street #6128
George Fox University Health Center
Newberg, OR 97132 - Phone
- (503) 554-2340
- Fax
- (503) 554-2343
- NPI assigned
- Jan 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60069343 | WA | |
| Family Nurse Practitioner | 363LF0000X | 201250150NP | OR | Primary |
Addresses
Primary practice location
414 N. Meridian Street #6128
George Fox University Health Center
Newberg, OR 97132
Mailing address
414 N. Meridian Street #6128
George Fox University Health Center
Newberg, OR 97132
Phone (503) 554-2340
Other names 1
- Stephanie Joy Fisher
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60069343 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Fox University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Newberg, OR
- NPI 1336323252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1659519676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N. MERIDIAN STREET #6128",
"address_2": "GEORGE FOX UNIVERSITY HEALTH CENTER",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-554-2340",
"fax_number": "503-554-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N. MERIDIAN STREET #6128",
"address_2": "GEORGE FOX UNIVERSITY HEALTH CENTER",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-554-2340",
"fax_number": "503-554-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW",
"first_name": "STEPHANIE",
"middle_name": "JOY",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "60069343",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201250150NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "FISHER",
"middle_name": "JOY",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.