Individual provider Active NPI

Stephanie S Stephens, RN, MSN, WHNP

  • Women's Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1821266487
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024165372 Issued in VA
Practice address
2020 S Independence Blvd Ste 5
Virginia Beach, VA 23453-4776
Phone
(757) 471-6903
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024165372 VA Primary

Addresses

Primary practice location

2020 S Independence Blvd Ste 5
Virginia Beach, VA 23453-4776

Mailing address

2020 S Independence Blvd Ste 5
Virginia Beach, VA 23453-4776
Phone (757) 471-6903

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000155 VA Practitioner - Nurse Practitioner 4587960257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 13, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince May 13, 2019 Accepting new patients
Commonwealth Women'S Healthcare, Inc. PastSince Dec 17, 1996 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

Organizations & group practices 3

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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1821266487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S INDEPENDENCE BLVD STE 5",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534776",
            "telephone_number": "757-471-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "credential": "RN, MSN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024165372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.