STEPHANIE DOVE PROUDFOOT (NPI# 1083020721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083020721 |
| Entity Type | Individual |
| Full Name | STEPHANIE DOVE PROUDFOOT |
| Credential | NP-C |
| Practice Address |
500 South Water Street Kent OH 44240 |
| Mailing Address |
3719 Yale Ave Nw Canton OH 44709-1557 |
| Practice Telephone | 3306784009 |
| Mailing Telephone | 7407051679 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0614978 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659707032 | Stephanie Ann Proudfoot | Behavioral Analyst | 2505 E Jefferson Blvd, South Bend, IN 46615-2635 | 2013-09-18 |
| Street Address |
500 SOUTH WATER STREET |
| City | KENT |
| State | OH |
| Zip Code | 44240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
| 1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
| 1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| Find all providers in zip 44240 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987675 | Angela Jeanne Shumaker | Nurse Practitioner | 1104 Copper Ct Apt 104, Kent, OH 44240-8220 | 2020-09-16 |
| 1881246478 | Tiffany L Havens | Nurse Practitioner | 500 S Water St, Kent, OH 44240-3548 | 2019-07-12 |
| 1871052183 | Kayla Massoli | Nurse Practitioner | 3026 Tallmadge Rd, Kent, OH 44240-6872 | 2019-03-16 |
| 1548799778 | Christopher Thomas Matthews | Nurse Practitioner | 5320 S 236th St, Kent, WA 98032-3388 | 2017-06-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| 1710289202 | Kristen Renea Goetz Jones | Nurse Practitioner | 4802 S 215th St, Kent, WA 98032-8481 | 2010-12-03 |
| 1568779239 | Lisa Sue Bettinger | Nurse Practitioner | 1500 Eastway Drive, Kent, OH 44240-2934 | 2010-09-01 |
| 1619032612 | Khamsaengphet Hodges | Nurse Practitioner | 10056 Se 240th St Ste A, Kent, WA 98031-5126 | 2006-12-27 |
| 1831260637 | Nancy Ledgerwood-van Vleck | Nurse Practitioner | 620 W. James Street, Rjc Kent Jail Health Clinic, Kent, WA 98032-4487 | 2006-11-13 |
| 1720157498 | Carol Renne Tanaka | Nurse Practitioner | 613 W Gowe St, Kent, WA 98032-5745 | 2006-11-07 |
| Find all providers in KENT | ||||
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| 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.