Active NPI
Stella Torshie Squire
- Family Nurse Practitioner
- Camp Verde, AZ
National Provider Identifier
1861148595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 290115
- Practice address
- 1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958 - Phone
- (928) 639-5555
- Fax
- (928) 639-5554
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1071338 | TX | |
| Family Nurse Practitioner | 363LF0000X | 290115 | AZ | Primary |
Addresses
Primary practice location
1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958
Mailing address
1306 Dodgeton Dr
Frisco, TX 75033-1573
Phone (860) 655-6910
Other practice location 1
1306 Dodgeton Dr
Frisco, TX 75033-1573
Phone (860) 655-6910
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290115 | AZ | MD | Family Nurse Practitioner |
| 1071338 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- stella.squire.p1@direct.spectrumhg.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Richardson, TX
- NPI 1760808091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1861148595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 DODGETON DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331573",
"telephone_number": "860-655-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1298 W FINNIE FLAT RD",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "863225958",
"telephone_number": "928-639-5555",
"fax_number": "928-639-5554"
}
],
"practiceLocations": [
{
"address_1": "1306 Dodgeton Dr",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750331573",
"country_code": "US",
"telephone_number": "860-655-6910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SQUIRE",
"first_name": "STELLA",
"middle_name": "TORSHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1071338",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "290115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Verde, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.