Active NPI
Stephanie W Conn, P.A.C.
- Medical Physician Assistant
- Washington, DC
National Provider Identifier
1821226754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA030914
- Practice address
- 1627 Eye St NW
Suite 800
Washington, DC 20006-4007 - Phone
- (202) 660-0025
- Fax
- (202) 660-0015
- NPI assigned
- Jun 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9105004 | FL | |
| Medical Physician Assistant | 363AM0700X | PA030914 | DC | Primary |
Addresses
Primary practice location
1627 Eye St NW
Suite 800
Washington, DC 20006-4007
Mailing address
130 Sutter St 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9105004 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5530 Wisconsin Ave
Suite 700
Chevy Chase, MD 20815-4401
Phone (301) 656-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA030914 | DC | MD | Medical Physician Assistant |
| PA 9105004 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Hospital Partners LP | Current | Accepting new patients | |
| District Hospital Partners L P | Current | Accepting new patients | |
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Locations
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
Interoperability endpoints
- sconn1129720@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1912517756
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1821226754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 EYE ST NW",
"address_2": "SUITE 800",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200064007",
"telephone_number": "202-660-0025",
"fax_number": "202-660-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "STEPHANIE",
"middle_name": "W",
"name_prefix": "Miss",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9105004",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA030914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA 9105004",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.