Individual provider Active NPI

Ekaterina A. Stepanova, MD

  • Psychiatry Physician
  • Reno, NV
National Provider Identifier
1730359662
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
14071 Issued in NV
Practice address
1495 Ridgeview Dr
Reno, NV 89519-6346
Phone
(775) 313-9136
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14071 NV Primary
Child & Adolescent Psychiatry Physician 2084P0804X 14071 NV

Addresses

Primary practice location

1495 Ridgeview Dr
Reno, NV 89519-6346

Mailing address

1495 Ridgeview Dr
Reno, NV 89519-6346
Phone (775) 313-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141121000943 NV Practitioner - Psychiatry 9032331319 Reassigns benefits to 1 organization
I20150911001510 MD Practitioner - Psychiatry 9032331319 Reassigns benefits to 2 organizations
I20220302003020 VA Practitioner - Psychiatry 9032331319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14071NVMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Psychiatry CurrentSince Aug 17, 2015 Accepting new patients
State of Nevada CurrentSince Sep 6, 2014 Accepting new patients
Johns Hopkins University Current Accepting new patients
MCV Associated Physicians Psychiatry CurrentSince Nov 19, 2021 Accepting new patients
State of Nevada Current Accepting new patients
Johns Hopkins University CurrentSince Aug 17, 2015 Accepting new patients
Kennedy Krieger Associates CurrentSince Sep 21, 2015 Accepting new patients
State of Nevada CurrentSince Sep 6, 2014 Accepting new patients
Kennedy Krieger Associates CurrentSince Sep 21, 2015 Accepting new patients

Locations

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

600 N Wolfe St
Baltimore, MD 21287

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

4150 Technology Way
Ste 100
Carson City, NV 89706

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Interoperability endpoints

  • Direct secure messaging: estepanova8882@direct.kennedykrieger.org

Organizations & group practices 9

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1730359662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RIDGEVIEW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196346",
            "telephone_number": "775-313-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RIDGEVIEW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196346",
            "telephone_number": "775-313-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANOVA",
        "first_name": "EKATERINA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "14071",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "14071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.