Individual provider Active NPI

Stephanie Loryn Hildreth, CRNP

  • Family Nurse Practitioner
  • Bethel Park, PA
National Provider Identifier
1821606088
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022182 Issued in PA
Practice address
1000 Higbee Dr Ste D202
Bethel Park, PA 15102-4200
Phone
(412) 833-6176
Fax
(412) 833-6421
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022182 PA Primary

Addresses

Primary practice location

1000 Higbee Dr Ste D202
Bethel Park, PA 15102-4200

Mailing address

1000 Higbee Dr Ste D202
Bethel Park, PA 15102-4200
Phone (412) 833-6176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200819003938 PA Practitioner - Nurse Practitioner 4789000860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022182PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Family Medicine, LLC CurrentSince Jul 14, 2020 Accepting new patients
South Hills Family Medicine, LLC PastSince Jul 14, 2020 Accepting new patients

Locations

1000 Higbee Dr
Ste D202
Bethel Park, PA 15102
Phone (412) 833-6176

Interoperability endpoints

  • Direct secure messaging: drstephaniehildreth@southhillsfamilymedicine.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1821606088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D202",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-833-6176",
            "fax_number": "412-833-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGBEE DR STE D202",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024200",
            "telephone_number": "412-833-6176",
            "fax_number": "412-833-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "STEPHANIE",
        "middle_name": "LORYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.