Individual provider Active NPI

Stephanie Seckel

  • Mastectomy Fitter
  • Coralville, IA
National Provider Identifier
1851162317
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Practice address
2771 Oakdale Blvd Ste 8
Coralville, IA 52241-9747
Phone
(319) 530-6931
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X Primary

Addresses

Primary practice location

2771 Oakdale Blvd Ste 8
Coralville, IA 52241-9747

Mailing address

2771 Oakdale Blvd Ste 8
Coralville, IA 52241-9747
Phone (319) 530-6931

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie N Seckel CurrentSince Feb 25, 2024 Accepting new patients

Locations

2771 Oakdale Blvd
Ste 8
Coralville, IA 52241
Phone (319) 333-7226

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1851162317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 8",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-530-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 OAKDALE BLVD STE 8",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522419747",
            "telephone_number": "319-530-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKEL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.