Active NPI
Stephanie Musick, CPNP
- Pediatric Nurse Practitioner
- Midlothian, VA
National Provider Identifier
1750950176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024181638
- Practice address
- 11601 Robious Rd Ste 100
Midlothian, VA 23113-5605 - Phone
- (804) 379-9494
- Fax
- (804) 379-3702
- NPI assigned
- Jun 21, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024181638 | VA | Primary |
Addresses
Primary practice location
11601 Robious Rd Ste 100
Midlothian, VA 23113-5605
Mailing address
11601 Robious Rd Ste 100
Midlothian, VA 23113-5605
Phone (804) 379-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Dominion Health System, Inc. | Current | Accepting new patients | |
| Southern Dominion Health System, Inc. | Current | Accepting new patients | |
| Southern Dominion Health System, Inc. | Current | Accepting new patients | |
| Southern Dominion Health System, Inc. | Past | Accepting new patients | |
| Capitol Pediatrics | Past | Accepting new patients | |
| Southern Dominion Health System, Inc. | Past | Accepting new patients |
Locations
8920 Otterburn Rd
Amelia Ct Hse, VA 23002
Phone (804) 288-8838
13855 Courthouse Rd
Dinwiddie, VA 23841
Phone (804) 469-3731
510 N Main St
Emporia, VA 23847
Phone (434) 634-7723
1508 K V Rd
Victoria, VA 23974
Phone (434) 696-2165
Interoperability endpoints
- stephanie.musick@sdhs.directbygreenway.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Victoria, VA
- NPI 1295706588
-
- Federally Qualified Health Center (FQHC)
- Victoria, VA
- NPI 1497969091
-
- Federally Qualified Health Center (FQHC)
- Amelia Court House, VA
- NPI 1700099512
-
- Pediatrics Physician
- Midlothian, VA
- NPI 1700958410
-
- Federally Qualified Health Center (FQHC)
- Dinwiddie, VA
- NPI 1487867206
-
- Federally Qualified Health Center (FQHC)
- Emporia, VA
- NPI 1982817706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1750950176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 ROBIOUS RD STE 100",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231135605",
"telephone_number": "804-379-9494",
"fax_number": "804-379-3702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 ROBIOUS RD STE 100",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231135605",
"telephone_number": "804-379-9494",
"fax_number": "804-379-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICK",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024181638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.