Individual provider Active NPI

Sheila Stewart, CERTIFIED

  • Contractor
  • Media, PA
National Provider Identifier
1891915724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
246RP1900X Issued in MD
Practice address
9 W Front St
Media, PA 19063-2816
Phone
(180) 087-7822
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 246RP1900X MD Primary

Addresses

Primary practice location

9 W Front St
Media, PA 19063-2816

Mailing address

6918 Real Princess LN
Baltimore, MD 21207-4578
Phone (410) 281-7839

Other identifiers 1

IdentifierTypeStateIssuer
246RP1900XOtherMD06-002Y86

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

State licenses

LicenseStateTypeSpecialty
246RP1900XMDMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891915724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 REAL PRINCESS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074578",
            "telephone_number": "410-281-7839",
            "fax_number": "410-281-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632816",
            "telephone_number": "180-087-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MD",
            "license": "246RP1900X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "06-002Y86",
            "identifier": "246RP1900X",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.