Orchard Family Medicine LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ORCHARD FAMILY MEDICINE LLC

Practice address

3285 Kent Rd
Stow, OH 44224-4501

Phone

(330) 936-9633

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Stephanie Tate, APRN-CNPNPI 1528538493

Title

Owner

Phone

(330) 936-9633

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie M Tate, CNP

  • Family Nurse Practitioner
  • Cuyahoga Falls, OH
  • NPI 1528538493
  NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1952130817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 PLYMOUTH LN",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213642",
            "telephone_number": "330-936-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 KENT RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244501",
            "telephone_number": "330-936-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-936-9633",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.