Stephanie D Cline

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1912 Jones PL
Kokomo, IN 46902-5084

Phone

(765) 438-6625

NPI assigned

May 31, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Axis Family Services, LLC

  • Community/Behavioral Health Agency
  • Kokomo, IN
  • NPI 1881187748
  NPD (past) Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1669964110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 JONES PL",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025084",
            "telephone_number": "765-438-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 JONES PL",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025084",
            "telephone_number": "765-438-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendal Clear
• Karl B. Clearwaters, R.PH.
• Edward Monroe Cleaver, LCSW
• Cheryl Lynn Cleveland-Cox, R.PH.
• Kyrra Clevenger
• Lydia Susan Coalburn
• Shilpa Shashikant Coats, MD
• Braysha Cobb
• Audrey Cochran
• Jennifer Cochran

• All providers in Kokomo, IN
• Day Training/Habilitation Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.