Stephanie Lyn Naka, MFP-C

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

88632328 Issued in IN

Practice address

5402 W Wind LN Apt 2a
Indianapolis, IN 46250-1051

Phone

(260) 515-7928

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1669057097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FORT BELVOIR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W WIND LN APT 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501051",
            "telephone_number": "260-515-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKA",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MFP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "IN",
            "license": "88632328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://www.myWellD.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5402 W Wind Ln Apt 2A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462501051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nisha Nair, LMHC
• Nadeem Waheed Najam, MD
• Aaron G Naji, MD
• Melody Lynne Najmon, OTD, OTR
• Thasneem Najum
• Yuki Nakao
• Charles Nakar, MD
• Muskan Nakarmi
• David A Nakata, MD
• Reham Nakhla, RPH

• Clinical Exercise Physiologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Exercise Physiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.