STEPHANIE CARRIER HODGES (NPI# 1255741419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255741419 |
| Entity Type | Individual |
| Full Name | STEPHANIE CARRIER HODGES |
| Credential | M.D. |
| Practice Address |
8910 Vernon Rd Lake Stevens WA 98258 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253971700 |
| Practice Fax Number | 4253355145 |
| Mailing Telephone | 4253971700 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60744389 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487151965 | Stephanie Simms Hodges | Dietitian, Registered | 2655 Providence Church Rd, Henry, VA 24102-3282 | 2018-04-10 |
| 1467880799 | Stephanie Hodges | Nurse Practitioner | 204 Westwood Shopping Ctr, Fayetteville, NC 28314-1528 | 2013-10-23 |
| 1033719554 | Stephanie Carroll Hodges | Pharmacist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2020-10-26 |
| 1588216063 | Stephanie L Hodges | Community/Behavioral Health | 301 Obetz Rd, Columbus, OH 43207-4036 | 2019-07-15 |
| 1639555436 | Stephanie Hodges | Nurse Practitioner | 1890 Waite St, North Bend, OR 97459-1229 | 2015-08-04 |
| 1083978571 | Stephanie Hodges | Clinical Neuropsychologist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2012-06-28 |
| 1164659132 | Stephanie Nicole Hodges | Counselor | 824 W Main St, Magnolia, AR 71753-3316 | 2009-06-17 |
| Street Address |
8910 VERNON RD |
| City | LAKE STEVENS |
| State | WA |
| Zip Code | 98258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386620896 | Katerina Stursova-wolff | Pediatrics | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2005-12-16 |
| 1245852326 | Sean Linn | Pharmacist | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2020-05-12 |
| 1811419195 | Claire Murray | Physician Assistant | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2017-07-09 |
| 1295256071 | Joanne Thambuswamy | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2017-06-30 |
| 1699208736 | Maria Luisa Jabido | Nurse Practitioner | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2017-04-05 |
| 1356894422 | Shannon Lynne Porter | Nurse Practitioner | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2016-07-26 |
| 1417310350 | Maikha Jean-baptiste | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2016-03-29 |
| 1710372479 | Joshua Lawrence Hilliard | Pediatrics | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2015-03-31 |
| 1477976272 | Danielle Skiles | Counselor | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2014-01-29 |
| 1356775266 | Amandeep Kaur | Internal Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349116 | Page A Thompson | Assistant Behavior Analyst | 9821 North Davies Rd, Lake Stevens, WA 98258 | 2019-05-01 |
| 1811490550 | Washington Dental Corporation PC | Dentist | 907 Frontier Circle E, Suite 110, Lake Stevens, WA 98258 | 2018-03-08 |
| 1881140499 | Tracy L. Delorm, D.d.s. Pllc | Dentist | 9514 4th St. Ne Unit 102, Lake Stevens, WA 98258 | 2016-09-01 |
| 1932587870 | Nathan Cory | Contractor | 25 95th Dr Ne #105, Lake Stevens, WA 98258 | 2015-05-12 |
| 1902249063 | Troy Slover | Family Medicine | 31 Ne Route 300 Suite 200, Belfair, WA 98258 | 2013-04-09 |
| 1154675064 | Pspd - Lake Stevens Pllc | Dentist | 9421 N. Davies Road #a, Lake Stevens, WA 98258 | 2012-10-30 |
| 1053670364 | Ashley Nicole Sherman | Massage Therapist | 9623 32nd St Se Bldg D Ste 115, Lake Stevens, WA 98258 | 2012-05-07 |
| 1326344391 | Lyman Charles Drown | Specialist/Technologist | 9514 4th Street Ne, Suite 101, Lake Stevens, WA 98258 | 2011-02-08 |
| 1942504071 | Rebekah Erin Callahan | Marriage & Family Therapist | 7304 10th St. Se #b201, Lake Stevens, WA 98258 | 2011-01-04 |
| 1376857235 | Ronald L Rhea | Massage Therapist | 7812 12th St Se, Lake Stevens, WA 98258 | 2010-08-03 |
| Find all providers in zip 98258 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730297946 | Philip Dale Ranheim | Family Medicine | 9407 4th St Ne, Building A, Lake Stevens, WA 98258-1603 | 2006-08-28 |
| 1295256071 | Joanne Thambuswamy | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2017-06-30 |
| 1417310350 | Maikha Jean-baptiste | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2016-03-29 |
| 1942593587 | Sarinda Kongkachen | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2011-05-16 |
| 1326366873 | David A Lu | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2010-05-07 |
| 1669646543 | Douglas Pepple | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2008-04-22 |
| 1396713350 | Dougal Chisholm | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2006-03-08 |
| 1588639330 | George Vasil | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2006-02-22 |
| 1467427880 | Marylou Hatcher | Family Medicine | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LAKE STEVENS |
| Zip Code | 98258 |
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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.