Individual provider Active NPI

Stephanie Renee Jones, ARNP-C

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1780822916
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60075691 Issued in WA
Practice address
4118 NW Olive St
Vancouver, WA 98660-1439
Phone
(360) 433-9580
Fax
(866) 824-5107
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 60010435 WA
Family Nurse Practitioner 363LF0000X AP60075691 WA Primary

Addresses

Primary practice location

4118 NW Olive St
Vancouver, WA 98660-1439

Mailing address

PO Box 1527
Vancouver, WA 98668-1527
Phone (360) 433-9580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie@loweryourpain.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20090615000073 WA Practitioner - Nurse Practitioner 7618027681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siloam PSGroup PAC ID 5597030734, 2 clinicians

Practice addresses (Care Compare)

4118 NW Olive St
Vancouver, WA 98660-1439
Phone (360) 433-9580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60010435WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam PS CurrentSince Sep 16, 2017 Accepting new patients

Locations

406 SE 131st Ave
Ste 203
Vancouver, WA 98683
Phone (360) 254-4402

16821 SE McGillivray Blvd
Ste 204
Vancouver, WA 98683
Phone (360) 433-9580

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1780822916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1527",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681527",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 NW OLIVE ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601439",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60010435",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60075691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@loweryourpain.com",
            "affiliation": "N",
            "address_1": "406 SE 131st Ave Ste 203",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986834013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.