Stephanie Louise Todd, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704267067 Issued in MI

Practice address

204 E Muskegon St
Cedar Springs, MI 49319-9326

Phone

(616) 696-3470

NPI assigned

Jun 18, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.todd.p1@direct.cherryhealth.nextgenshare.com

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.

• Bright Start Pediatrics, P.C.

  • Pediatrics Physician
  • Hastings, MI
  • NPI 1346361276
  NPD (past)
• Cherry Street Health Services

  • Case Management Agency
  • Grand Rapids, MI
  • NPI 1578979274
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1679133086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 KIMBALL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495084830",
            "telephone_number": "616-560-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MUSKEGON ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199326",
            "telephone_number": "616-696-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "STEPHANIE",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704267067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Swider, RPH
• Abagail Lynne Szpara
• Kiersten Tallant
• Melodee Thompson, M.S., CCC-SLP
• Daniel Edward Tighe, RPH
• Candace Unruh
• Usv Optical Inc.
• Michelle Renee Valentine
• Erica Elizabeth Van Houdt
• Rebecca Vansetters, CSW, ACSW

• Pediatric Nurse Practitioner in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.