Active NPI
Todd Brandon Stephens, LPN
- Licensed Practical Nurse
- Fredericktown, OH
National Provider Identifier
1982935011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 137563
- Practice address
- 170 W Sandusky St
Fredericktown, OH 43019-1254 - Phone
- (740) 507-1637
- NPI assigned
- Jan 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 137563 | OH | Primary |
Addresses
Primary practice location
170 W Sandusky St
Fredericktown, OH 43019-1254
Mailing address
170 W Sandusky St
Fredericktown, OH 43019-1254
Phone (740) 507-1637
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
| License | State | Type | Specialty |
|---|---|---|---|
| 137563 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1982935011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 W SANDUSKY ST",
"city": "FREDERICKTOWN",
"state": "OH",
"postal_code": "430191254",
"telephone_number": "740-507-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W SANDUSKY ST",
"city": "FREDERICKTOWN",
"state": "OH",
"postal_code": "430191254",
"telephone_number": "740-507-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "TODD",
"middle_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "137563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericktown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.