MS. STEPHANIE SOUTHARD (NPI# 1174665889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174665889 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE SOUTHARD |
| Credential | CRNP |
| Practice Address |
2415 Musgrove Rd #105 Silver Spring MD 20904-5200 |
| Practice Telephone | 3019893464 |
| Practice Fax Number | 3018792325 |
| Mailing Telephone | 3019893464 |
| Mailing Fax Number | 3018792325 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R123661 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063813434 | Stephanie Southard | Licensed Practical Nurse | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2014-09-04 |
| 1720148356 | Stephanie Southard | Family Medicine | 166 Hospital St, Monticello, KY 42633-2430 | 2006-12-12 |
| Street Address |
2415 MUSGROVE RD #105 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719353 | Kadan C Sau | Pediatrics | 2415 Musgrove Rd, Ste 308, Silver Spring, MD 20904-5223 | 2005-06-02 |
| 1225693864 | Ava Shahdadian | Physician Assistant | 2415 Musgrove Rd, Silver Spring, MD 20904-5202 | 2019-05-09 |
| 1982070603 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2415 Musgrove Rd, Suite 103, Silver Spring, MD 20904-5202 | 2015-08-17 |
| 1528442829 | Kristen M Wessel | Audiologist | 2415 Musgrove Rd, Suite 203, Silver Spring, MD 20904 | 2015-07-16 |
| 1891185278 | Elsabet Tekle Dds LLC | Durable Medical Equipment & Medical Supplies | 2415 Musgrove Rd, Silver Spring, MD 20904-5202 | 2015-01-23 |
| 1760886675 | Alpha Allergy & Asthma Associates, LLC | Clinic/Center | 2415 Musgrove Rd, Suite 107, Silver Spring, MD 20904-5202 | 2014-10-21 |
| 1427499870 | Kristen Wampler | Physician Assistant | 2415 Musgrove Rd, 105, Silver Spring, MD 20904-5202 | 2013-07-15 |
| 1336486067 | Precision Imaging LLC | Clinic/Center | 2415 Musgrove Rd, Suite# 101, Silver Spring, MD 20904-5202 | 2013-01-15 |
| 1760753420 | Cathy Wiltshire Dds Pa | Dentist | 2415 Musgrove Rd, Suite 307, Silver Spring, MD 20904-5202 | 2012-01-25 |
| 1427357342 | Alicia Elaine Hutchins | Audiologist | 2415 Musgrove Rd, Suite 203, Silver Spring, MD 20904-5200 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1265049324 | Johanna Catherine Mckenna | Nurse Practitioner | 10750 Columbia Pike Ste 320, Silver Spring, MD 20901-4453 | 2020-09-23 |
| 1639793763 | Sonya Zhe Chang | Nurse Practitioner | 10203 Brunett Ave, Silver Spring, MD 20901-2004 | 2020-06-04 |
| 1568095966 | Kadiatu G Kamara | Nurse Practitioner | 13700 Beauwick Ct, Silver Spring, MD 20906-3005 | 2020-02-14 |
| 1598305294 | Jemila Kemal | Nurse Practitioner | 4104 Elby St, Silver Spring, MD 20906-4438 | 2020-01-10 |
| 1831736933 | Andrea Adenike Coker | Nurse Practitioner | 10230 New Hampshire Ave Ste 103, Silver Spring, MD 20903-1422 | 2019-12-08 |
| 1235770330 | Joanna M King | Nurse Practitioner | 3455 Castle Way, Silver Spring, MD 20904-4767 | 2019-10-01 |
| 1528614245 | Mary Warrah Tarawalie | Nurse Practitioner | 3607 Pear Tree Ct Apt 23, Silver Spring, MD 20906-5506 | 2019-08-18 |
| 1851857577 | Beena Zachariah | Nurse Practitioner | 2739 Sweet Clover Ct, Silver Spring, MD 20904-1884 | 2019-02-19 |
| 1477019834 | Leslyn Joseph | Nurse Practitioner | 14208 Grand Pre Rd Apt 301, Silver Spring, MD 20906-2889 | 2019-02-11 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on MS. STEPHANIE SOUTHARD.
| 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.