Individual provider Active NPI

Stephanie Hall, FNP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1962926097
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
021379 Issued in OH
Practice address
553 E Manhattan Blvd
Toledo, OH 43608-1216
Phone
(719) 219-7001
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X APRN.CNP.021379 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.021379 OH
Family Nurse Practitioner 363LF0000X 021379 OH Primary

Addresses

Primary practice location

553 E Manhattan Blvd
Toledo, OH 43608-1216

Mailing address

200 N. Graytown Rd
Graytown, OH 43432
Phone (419) 271-4495

Other practice location 1

333 N Summit St
Toledo, OH 43604-1531
Phone (419) 531-0440

Other names 1

  • Stephanie Alvarez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230623002173 OH Practitioner - Nurse Practitioner 5193084150 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021379OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Op Hospice-Ohio LLC Hospice and Palliative Medicine CurrentSince Jan 23, 2025 Accepting new patients

Locations

3425 Executive Pkwy
Ste 206
Toledo, OH 43606
Phone (419) 534-0654

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1962926097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N. GRAYTOWN RD",
            "city": "GRAYTOWN",
            "state": "OH",
            "postal_code": "43432",
            "telephone_number": "419-271-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 E MANHATTAN BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081216",
            "telephone_number": "719-219-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Summit St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436041531",
            "country_code": "US",
            "telephone_number": "419-531-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "APRN.CNP.021379",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.021379",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "021379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ALVAREZ",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.