Stephanie L Faulkner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009213 Issued in KY

Practice address

113 Maloney Way
Mt Sterling, KY 40353-8510

Phone

(859) 585-3676

NPI assigned

Sep 15, 2007

Last updated

Mar 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

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• Jeffrey T Reed

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• Premier Dermatology LLC

  • Specialist
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  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1760678577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403538510",
            "telephone_number": "859-585-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MALONEY WAY",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403538510",
            "telephone_number": "859-585-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009213",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1093689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Clinic, PLLC
• Erin Elaine Farkas, APRN
• Charlotte Farris, LPCC
• Fast Pace Kentucky PLLC (Fast Pace Health)
• Marvin Chad Faulkner, D.C.
• Amy Ferrell
• Rickey P Fields, DMD
• Firm Foundation Chiropractic PLLC (Mt. Sterling Family Chiropractic)
• Diana Flannery
• Alyssa Fleming, APRN

• Family Nurse Practitioner in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.

Verify at the official NPI Registry.