STEPHANIE NICHOLE O'CONNOR (NPI# 1548723000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548723000 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICHOLE O'CONNOR |
| Credential | PNP |
| Practice Address |
335 S Ocotillo Ave Benson AZ 85602-6406 |
| Mailing Address |
1205 N F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5205864040 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | 5203646852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
224631 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134546369 | Stephanie Marie O'connor | Speech-Language Pathologist | 600 E. Broadway Street, Harrison Elementary, Harrison, OH 45030 | 2014-03-26 |
| 1720060353 | Stephanie O'connor | Nurse Practitioner | 18750 Se Stark St, Portland, OR 97233-5330 | 2005-11-18 |
| 1629683958 | Stephanie O'connor | Social Worker | 123 N Oakland Ave, Green Bay, WI 54303-2831 | 2020-09-14 |
| 1306483995 | Stephanie M O'connor | Dietitian, Registered | 4735 Ogletown Stanton Rd Ste 3201, Newark, DE 19713-2094 | 2019-12-03 |
| 1275960346 | Stephanie O'connor | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-10-03 |
| 1851409502 | Stephanie Anne O'connor | Physical Therapist | 510 Butler Ave, Pmrs, Martinsburg, WV 25401-9990 | 2006-08-25 |
| Street Address |
335 S OCOTILLO AVE |
| City | BENSON |
| State | AZ |
| Zip Code | 85602-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992897227 | Judeth L Thorndike | Counselor | 335 S Ocotillo Ave, Benson, AZ 85602 | 2006-09-28 |
| 1891236220 | Joshua Jean | Family Medicine | 335 S Ocotillo Ave, Benson, AZ 85602-6406 | 2017-03-18 |
| 1184071524 | Megan Sara Matz | Pediatrics | 335 S Ocotillo Ave, Benson, AZ 85602-6406 | 2016-05-16 |
| 1497835649 | Lucy Burciaga | Internal Medicine | 335 S Ocotillo Ave, Benson, AZ 85602-6406 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961425 | Christian Reese Newsom | Nurse Practitioner | 6980 E Sahuaro Dr Apt 1085, Scottsdale, AZ 85254-5295 | 2020-10-29 |
| 1083258354 | Stephenie Ann Lechuga | Nurse Practitioner | 3415 W Glendale Ave Ste 32a, Phoenix, AZ 85051-8485 | 2019-10-30 |
| 1821650201 | Rebekah Ellen Charry | Nurse Practitioner | 115 Calle Portal Ste 700, Sierra Vista, AZ 85635-2950 | 2019-07-05 |
| 1326606146 | Mollie Finn | Nurse Practitioner | 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 | 2019-06-05 |
| 1134698160 | Kayla Rose Percy | Nurse Practitioner | 1205 N F Ave, Douglas, AZ 85607-1920 | 2018-11-20 |
| 1063987683 | Katherine Anne Bassler | Nurse Practitioner | 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 | 2018-10-10 |
| 1134613607 | Brittany Kunz | Nurse Practitioner | 2456 E Fairview Cir, Mesa, AZ 85204-5421 | 2018-06-19 |
| 1124526884 | Kidnurse, LLC | Nurse Practitioner | 1550 S Alma School Rd Ste 275, Mesa, AZ 85210-2107 | 2018-01-29 |
| 1407354244 | Mariah Karyn White | Nurse Practitioner | 13065 W Mcdowell Rd Ste C130, Avondale, AZ 85392-6448 | 2018-01-26 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEPHANIE NICHOLE O'CONNOR.
| 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.