Individual provider Active NPI

Stephanie Marion Story, BSN, RN, PHN

  • Case Management Registered Nurse
  • Concord, CA
National Provider Identifier
1770053688
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
95032528 Issued in CA
Practice address
2500 Bates Ave Ste B
Concord, CA 94520-1208
Phone
(925) 608-5134
Fax
(925) 608-5160
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 95032528 CA Primary

Addresses

Primary practice location

2500 Bates Ave Ste B
Concord, CA 94520-1208

Mailing address

2500 Bates Ave Ste B
Concord, CA 94520-1208
Phone (925) 608-5134

Other identifiers 2

IdentifierTypeStateIssuer
D8528490OtherCADRIVER'S LICENSE
95032528OtherCABOARD OF REGISTERED NURSING

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95032528CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County PastSince Jun 27, 2021 Accepting new patients

Organizations & group practices 1

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1770053688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BATES AVE STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201208",
            "telephone_number": "925-608-5134",
            "fax_number": "925-608-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BATES AVE STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201208",
            "telephone_number": "925-608-5134",
            "fax_number": "925-608-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "STEPHANIE",
        "middle_name": "MARION",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95032528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "D8528490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95032528",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.