Individual provider Active NPI

Stephanie Barnes, APRN

  • Family Nurse Practitioner
  • Yorktown, VA
National Provider Identifier
1750787495
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174088 Issued in VA
Practice address
222 Grafton Dr
Yorktown, VA 23692-2152
Phone
(757) 898-7737
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0102675 OK
Family Nurse Practitioner 363LF0000X 0024174088 VA Primary

Addresses

Primary practice location

222 Grafton Dr
Yorktown, VA 23692-2152

Mailing address

860 Omni Blvd Ste 303
Newport News, VA 23606-4477
Phone (757) 232-8769

Other practice location 1

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5104
Phone (405) 424-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150114001059 OK Practitioner - Nurse Practitioner 2769706035 Reassigns benefits to 1 organization
I20180108002203 VA Practitioner - Nurse Practitioner 2769706035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0102675OKMDFamily Nurse Practitioner
0024174088VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deng Family Medicine Center, PC CurrentSince Sep 1, 2020 Accepting new patients

Locations

8900 SE 15th St
Oklahoma City, OK 73110
Phone (405) 737-0240

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750787495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064477",
            "telephone_number": "757-232-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GRAFTON DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922152",
            "telephone_number": "757-898-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 N Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731055104",
            "country_code": "US",
            "telephone_number": "405-424-7711",
            "fax_number": "405-425-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0102675",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.