Stephanie Bednar, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704306313 Issued in MI

Practice address

2300 Haggerty Rd Ste 2160
West Bloomfield, MI 48323-2192

Phone

(248) 859-2457

Fax

(248) 859-2473

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1659831790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 LOCH BEND DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824341",
            "telephone_number": "248-779-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 2160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232192",
            "telephone_number": "248-859-2457",
            "fax_number": "248-859-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704306313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "4704306313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaumont Medical Group- Specialty Services
• Beaumont West Bloomfield ASC LLC
• Supannee Beber, CSFA
• David Jason Becker
• Kim Beckwith
• David M. Bedol, M.D.
• Erin Beeker, CCC-SLP
• Befitting You, LLC
• Carol Williams Beggs, LMSW
• Behavior 4 All

• Registered Nurse in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.