Active NPI
Stephanie Kathryn Hisey, MS, RN, AGCNS-BC
- Medical-Surgical Clinical Nurse Specialist
- Dayton, OH
National Provider Identifier
1659896322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- APRN.CNS.019351
- Practice address
- 2222 Philadelphia Dr
Dayton, OH 45406-1813 - Phone
- (937) 734-5353
- NPI assigned
- Aug 3, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | APRN.CNS.019351 | OH | Primary |
Addresses
Primary practice location
2222 Philadelphia Dr
Dayton, OH 45406-1813
Mailing address
615 N Maple St
Eaton, OH 45320-1835
Phone (937) 336-7114
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
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNS.019351 | OH | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1659896322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N MAPLE ST",
"city": "EATON",
"state": "OH",
"postal_code": "453201835",
"telephone_number": "937-336-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061813",
"telephone_number": "937-734-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISEY",
"first_name": "STEPHANIE",
"middle_name": "KATHRYN",
"credential": "MS, RN, AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "OH",
"license": "APRN.CNS.019351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.