Individual provider Active NPI

Christie Lyn Stegeman, CRNP

  • Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1902282213
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R206993 Issued in MD
Practice address
1833 Forest Dr Ste a
Annapolis, MD 21401-4580
Phone
(410) 216-9180
Fax
(410) 216-9669
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R206993 MD
Nurse Practitioner 363L00000X R206993 MD Primary

Addresses

Primary practice location

1833 Forest Dr Ste a
Annapolis, MD 21401-4580

Mailing address

1833 Forest Dr Ste a
Annapolis, MD 21401-4580
Phone (410) 216-9180

Other practice location 1

8900 Columbia 100 Pkwy Ste G
Columbia, MD 21045-2336
Phone (410) 740-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160329000464 MD Practitioner - Nurse Practitioner 3476850967 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Living Health Integrative Medicine LLC CurrentSince Jan 2, 2018 Accepting new patients

Locations

1833 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 216-9180

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902282213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 FOREST DR STE A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014580",
            "telephone_number": "410-216-9180",
            "fax_number": "410-216-9669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Columbia 100 Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452336",
            "country_code": "US",
            "telephone_number": "410-740-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEGEMAN",
        "first_name": "CHRISTIE",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206993",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R206993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.