Individual provider Active NPI

Stephanie McNeal, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1700333507
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010568 Issued in KY
Practice address
2100 Millvale Rd
Louisville, KY 40205-1604
Phone
(443) 383-9300
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010568 KY Primary

Addresses

Primary practice location

2100 Millvale Rd
Louisville, KY 40205-1604

Mailing address

5451 Woodbine Rd
Ashland, KY 41102-8282
Phone (443) 383-9300

Other practice location 1

8030 Crider Dr
Catlettsburg, KY 41129-8855
Phone (606) 331-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220124000760 KY Practitioner - Nurse Practitioner 5092032151 Reassigns benefits to 1 organization
I20220202002633 WV Practitioner - Nurse Practitioner 5092032151 Reassigns benefits to 1 organization
I20220205000148 OH Practitioner - Nurse Practitioner 5092032151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Jan 24, 2022 Accepting new patients

Locations

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

1263 S George St
#A
Charles Town, WV 25414

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1700333507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 WOODBINE RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411028282",
            "telephone_number": "443-383-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MILLVALE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051604",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Crider Dr",
            "address_purpose": "LOCATION",
            "city": "Catlettsburg",
            "state": "KY",
            "postal_code": "411298855",
            "country_code": "US",
            "telephone_number": "606-331-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.