Individual provider Active NPI

Stephanie Amber Strange, RN

  • General Practice Registered Nurse
  • Indianapolis, IN
National Provider Identifier
1821774142
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
28208595C Issued in IN
Practice address
5669 Liberty Creek Dr E
Indianapolis, IN 46254-1004
Phone
(470) 701-9200
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 28208595C IN Primary

Addresses

Primary practice location

5669 Liberty Creek Dr E
Indianapolis, IN 46254-1004

Mailing address

4397 Cavitt Mill CT
Ellenwood, GA 30294-2065
Phone (470) 701-9200

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28208595CINMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1821774142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4397 CAVITT MILL CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942065",
            "telephone_number": "470-701-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 LIBERTY CREEK DR E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462541004",
            "telephone_number": "470-701-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "STEPHANIE",
        "middle_name": "AMBER",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28208595C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.