Active NPI
Carolyn Marie Stepan, ARNP
- Adult Health Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1740502384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- H-052217
- Practice address
- 411 Laurel St
Suite 3262
Des Moines, IA 50314-3017 - Phone
- (515) 643-5100
- Fax
- (515) 643-5150
- NPI assigned
- Feb 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | H-052217 | IA | Primary |
Addresses
Primary practice location
411 Laurel St
Suite 3262
Des Moines, IA 50314-3017
Mailing address
PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 643-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190256 | Other | IA | HEALTH ALLIANCE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-052217 | IA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1740502384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4925",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503054925",
"telephone_number": "515-643-5100",
"fax_number": "515-643-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST",
"address_2": "SUITE 3262",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143017",
"telephone_number": "515-643-5100",
"fax_number": "515-643-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPAN",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IA",
"license": "H-052217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "190256",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.