Active NPI
Vickie Lynn Stephens, CRNA
- Certified Registered Nurse Anesthetist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201803789CRNA
- Practice address
- 920 Country Club Rd Ste 220B
Eugene, OR 97401 - Phone
- (541) 342-5012
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9316957 | FL | |
| Registered Nurse | 163W00000X | 096007395RN | OR | |
| Certified Registered Nurse Anesthetist | 367500000X | 201803789CRNA | OR | Primary |
Addresses
Primary practice location
920 Country Club Rd Ste 220B
Eugene, OR 97401
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other practice location 1
7111 Fairway Dr Ste 450
Palm Beach Gardens, FL 33418-4200
Phone (561) 799-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 367-2310
8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone (407) 359-4503
951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9316957 | FL | MD | Registered Nurse |
| 096007395RN | OR | MD | Registered Nurse |
| 201803789CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Parrish Anesthesia Specialist, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Titusville, FL
- NPI 1780997023
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1487328811
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba HCA Florida Oviedo Medical Center
- General Acute Care Hospital
- Oviedo, FL
- NPI 1245785567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1710229885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COUNTRY CLUB RD STE 220B",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-342-5012"
}
],
"practiceLocations": [
{
"address_1": "7111 Fairway Dr Ste 450",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334184200",
"country_code": "US",
"telephone_number": "561-799-3552",
"fax_number": "561-623-2032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "VICKIE",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9316957",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "096007395RN",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201803789CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.