Individual provider Active NPI

Stephanie L Cadman, FNP

  • Family Nurse Practitioner
  • Fillmore, CA
National Provider Identifier
1669840872
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020731 Issued in CA
Practice address
852 W Ventura St
Fillmore, CA 93015-1837
Phone
(805) 524-2672
NPI assigned
Sep 3, 2015
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201502581NP-PP OR
Family Nurse Practitioner 363LF0000X 95020731 CA Primary

Addresses

Primary practice location

852 W Ventura St
Fillmore, CA 93015-1837

Mailing address

3101 S.W. Sam Jackson Park Rd.
Portland, OR 97239
Phone (503) 215-6494

Other practice location 1

11790 SW Barnes Rd Bldg A
Portland, OR 97225-5934
Phone (503) 643-2100

Other practice location 2

3101 S.W. Sam Jackson Park Rd.
Portland, OR 97239
Phone (503) 215-6494

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scadman931670@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004319 CA Practitioner - Nurse Practitioner 1951657022 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201502581NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Jun 1, 2025 Accepting new patients
Alta Orthopaedic Medical Group, Inc. CurrentSince Nov 14, 2024 Accepting new patients
Community Memorial Health System CurrentSince Jun 1, 2025 Accepting new patients
Alta Orthopaedic Medical Group Inc CurrentSince Nov 14, 2024 Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

511 Bath St
Santa Barbara, CA 93101
Phone (805) 963-9377

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1272/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scadman931670@oc.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1669840872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S.W. SAM JACKSON PARK RD.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 W VENTURA ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151837",
            "telephone_number": "805-524-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11790 SW Barnes Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255934",
            "country_code": "US",
            "telephone_number": "503-643-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 S.W. Sam Jackson Park Rd.",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "503-215-6494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADMAN",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201502581NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scadman931670@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9155 SW Barnes Rd Ste 211",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fillmore, CA

Sources for this page

Verify at the official NPI Registry.