MR. CHARLES RANDALL STEPHENS (NPI# 1578562096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578562096 |
| Entity Type | Individual |
| Full Name | MR. CHARLES RANDALL STEPHENS |
| Credential | CRNP |
| Practice Address |
1190 Main Street Sumiton AL 35148 |
| Mailing Address |
129 Lockerbie Ln Dora AL 35062-4466 |
| Practice Telephone | 2056482660 |
| Mailing Telephone | 2059018850 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-072559 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0082474 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 9772559 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346396405 | Charles Nolan Stephens | Chiropractor | 961 N. Columbia St., Milledgeville, GA 31061 | 2007-01-25 |
| 1801975511 | Charles M Stephens | Optometrist | 2501 S W S Young Dr, Suite 105, Killeen, TX 76542-2003 | 2006-11-03 |
| 1023528833 | Charles Stephens | Behavioral Analyst | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2017-10-06 |
| 1588064224 | Charles Stephens IIi | Case Manager/Care Coordinator | 801 Douglas Ave Ste 208, Altamonte Springs, FL 32714-5206 | 2014-08-31 |
| 1558706739 | Charles Clinton Stephens | Student in an Organized Health Care Education/Training Program | 7556 Hennessy Blvd, Baton Rouge, LA 70808-4339 | 2013-05-01 |
| 1689922619 | Charles Oliver Stephens | Obstetrics & Gynecology | 3106 Hudnall Ln, Edgewood, KY 41017 | 2012-08-23 |
| 1215161013 | Charles K. Stephens | Behavioral Analyst | 128 North George Street, York, PA 17401-1117 | 2009-05-07 |
| 1154590487 | Charles Jay Stephens | Family Medicine | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2008-02-20 |
| 1245355361 | Charles Lucas Stephens | Psychologist | 11200 Lariat Way, Dodge City, KS 67801-7328 | 2007-03-20 |
| 1194873612 | Charles E Stephens | Pharmacist | 323 E Main St, Lebanon, TN 37087 | 2007-01-08 |
| Street Address |
1190 MAIN STREET |
| City | SUMITON |
| State | AL |
| Zip Code | 35148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881889921 | Meghan John Corporation The | Clinic/Center | 1190 Main Street, Sumiton, AL 35148 | 2007-09-12 |
| 1003022955 | Rush Initiative | Voluntary or Charitable | 1190 Main Street, Sumiton, AL 35148 | 2007-05-15 |
| 1952433328 | Terra G Nelson | Nurse Practitioner | 1190 Main Street, Sumiton, AL 35148 | 2007-03-12 |
| 1508908989 | After Hours Family Medicine, LLC | Family Medicine | 1190 Main Street, Sumiton, AL 35148 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891196432 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 561 Highway 78, Suite 102, Sumiton, AL 35148 | 2014-09-15 |
| 1154531747 | Anthony Joseph Tortomasi | Dentist | 44 Oak Street, Sumiton, AL 35148 | 2007-05-23 |
| 1730199282 | Brooklere Group LLC | Pharmacy | 385 Bryan Road, Suite 200, Sumiton, AL 35148 | 2006-08-08 |
| 1083631717 | Sumiton Discount Drug Inc | Pharmacy | 1595 Main St, Sumiton, AL 35148 | 2006-07-17 |
| 1497913982 | Ha Thi Nguyen | Optometrist | 690 Highway 78, Sumiton, AL 35148 | 2008-05-30 |
| 1972795656 | Mark Allen Steele | Occupational Therapy Assistant | 183 Fennell St, Sumiton, AL 35148-3109 | 2007-08-15 |
| 1083702534 | Back In-line Chiropractic | Chiropractor | 419 Highway 78, Sumiton, AL 35148-3406 | 2006-10-10 |
| 1841388394 | Eric Hogland | Chiropractor | 419 Highway 78, Sumiton, AL 35148-3406 | 2006-10-10 |
| 1518135375 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 879 Highway 78, Sumiton, AL 35148-3416 | 2008-02-14 |
| 1326650730 | Priya Anil Patel | Pharmacist | 879 Highway 78, Sumiton, AL 35148-3416 | 2020-08-18 |
| Find all providers in zip 35148 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962655092 | Lisbeth Caroline Thornley | Nurse Practitioner | 497 Main St, Sumiton, AL 35148-4328 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CHARLES RANDALL STEPHENS.
| 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.