DR. STEPHANIE WELLS (NPI# 1043820681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043820681 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE WELLS |
| Credential | DNP |
| Practice Address |
3600 S National Ave Springfield MO 65807-7311 |
| Practice Telephone | 4173226622 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020019138 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020019138 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420087485 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034757 | Stephanie D Wells | Counselor | 2997 Owens Meadow Dr Nw, Kennesaw, GA 30152-2558 | 2019-06-28 |
| 1831511120 | Stephanie Wells | Assisted Living Facility | 1114 W County Line Rd, Lutz, FL 33558-5032 | 2014-01-06 |
| 1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
| 1306078134 | Stephanie Rose Wells | Counselor | 600 Stewart St Ste 220, Seattle, WA 98101 | 2009-08-12 |
| 1073723094 | Stephanie Rae Wells | Counselor | 3857 N High St Ste 200, Columbus, OH 43214-3752 | 2007-05-22 |
| 1811503964 | Stephanie Diane Wells | Speech-Language Pathologist | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2020-09-23 |
| 1972116218 | Stephanie Wells | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-08-26 |
| 1295374726 | Stephanie Wells | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2020-01-01 |
| 1225671506 | Stephanie Marie Wells | Behavior Technician | 3978 Sorrento Valley Blvd Ste 100, San Diego, CA 92121-1436 | 2019-10-19 |
| 1245885581 | Stephanie Wells | Psychologist | 508 Fulton St, Durham, NC 27705-3875 | 2019-08-05 |
| Street Address |
3600 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630095 | Alok Jain | Family Medicine | 3600 S National Ave, Springfield, MO 65807-7311 | 2005-06-27 |
| 1205437126 | Danielle Fowers | Nurse Practitioner | 3600 S National Ave, Springfield, MO 65807-7311 | 2020-11-06 |
| 1548894611 | Lisa Ann Galeski | Nurse Practitioner | 3600 S National Ave, Springfield, MO 65807-7311 | 2020-02-27 |
| 1578193637 | Amy Chrisandra Baremore | Nurse Practitioner | 3600 S National Ave, Springfield, MO 65807-7311 | 2020-01-16 |
| 1982244695 | Kelly Janell Petree | Nurse Practitioner | 3600 S National Ave, Springfield, MO 65807-7311 | 2020-01-10 |
| 1548760820 | Honour Brite LLC | Psychiatry & Neurology | 3600 S National Ave, Springfield, MO 65807-7311 | 2018-02-13 |
| 1942718978 | Alisha Breanna Jain | Family Medicine | 3600 S National Ave, Springfield, MO 65807-7311 | 2018-01-11 |
| 1467824763 | Samantha Dugan | Psychologist | 3600 S National Ave, Springfield, MO 65807-7311 | 2015-10-26 |
| 1144617697 | Amber Peters | Nurse Practitioner | 3600 S National Ave, Springfield, MO 65807-7311 | 2015-04-22 |
| 1972902211 | Kelley M Snow Watson | Counselor | 3600 S National Ave, Springfield, MO 65807-7311 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on DR. STEPHANIE WELLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.