Individual provider Active NPI

Sammie Stephens, APRN, NP-C

  • Adult Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1659815272
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0992851-NP Issued in CO
Practice address
2739 Annelise Way
Fort Collins, CO 80525-7635
Phone
(307) 259-0601
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17744.1578 WY
Gerontology Nurse Practitioner 363LG0600X APN.0992851-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0992851-NP CO Primary

Addresses

Primary practice location

2739 Annelise Way
Fort Collins, CO 80525-7635

Mailing address

2739 Annelise Way
Fort Collins, CO 80525-7635
Phone (307) 259-0601

Other identifiers 3

IdentifierTypeStateIssuer
RXN.0102897-NPOtherCOCOLORADO BOARD OF NURSING
17744.1578OtherWYWYOMING STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE
APN.0992851-NPOtherCOCOLORADO BOARD OF NURSING

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
17744.1578WYMDNurse Practitioner
APN.0992851-NPCOMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1659815272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 ANNELISE WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257635",
            "telephone_number": "307-259-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 ANNELISE WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257635",
            "telephone_number": "307-259-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SAMMIE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "17744.1578",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0992851-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0992851-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "RXN.0102897-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "17744.1578",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "APN.0992851-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.