Active NPI
Stephanie L Rose, MS, ATC
- Athletic Trainer
- Dunkirk, NY
National Provider Identifier
1710339056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003173
- Practice address
- 419 Central Avenue
Dunkirk, NY 14048 - Phone
- (716) 672-2000
- Fax
- (716) 363-2172
- NPI assigned
- Jul 11, 2016
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003173 | NY | Primary |
| Athletic Trainer | 2255A2300X | 3173 | NY |
Addresses
Primary practice location
419 Central Avenue
Dunkirk, NY 14048
Mailing address
99 Lake Ave
Brocton, NY 14716-9755
Other names 1
- Ms. Stephanie L Woleben
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003173 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 3173 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Past | Accepting new patients | |
| Lake Erie Medical Services, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Anesthesiology Physician
- Fredonia, NY
- NPI 1437406931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1710339056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 LAKE AVE",
"city": "BROCTON",
"state": "NY",
"postal_code": "147169755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 CENTRAL AVENUE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "14048",
"telephone_number": "716-672-2000",
"fax_number": "716-363-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "STEPHANIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003173",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "3173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "WOLEBEN",
"middle_name": "L",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.