STEPHANIE SEGELSTROM


Address: 801 Matlock Rd, Mansfield, TX 76063
Phone: 8173478420

STEPHANIE SEGELSTROM (NPI# 1750700324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750700324
Entity Type Individual
Full Name STEPHANIE SEGELSTROM
Credential CPNP
Practice Address 801 Matlock Rd
Mansfield
TX 76063
Mailing Address Po Box 733784
Dallas
TX 75373-3784
Practice Telephone 8173478420
Practice Fax Number 8173478425
Mailing Telephone 6828851860
Enumeration Date 2014-04-10
Last Update Date 2019-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
750733 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 801 MATLOCK RD
City MANSFIELD
State TX
Zip Code 76063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629270269 Brenda Newell Registered Nurse 801 Matlock Rd, Mansfield, TX 76063-9174 2007-06-05
1326528993 Alexa D Philipose Physician Assistant 801 Matlock Rd, Mansfield, TX 76063-9174 2018-08-14
1649782046 Melissa Ann Hataway Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2017-10-25
1407231285 Elizabeth A Busch Physician Assistant 801 Matlock Rd, Mansfield, TX 76063 2015-07-22
1003235672 Lacy Pitchford Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1659797611 Christie Lea Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2014-03-13
1326479684 Cook Children's Medical Center Clinic/Center 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1962833228 Cook Children's Medical Center Pediatrics 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1841564945 Anna C Alonzo Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2012-03-07
1912227091 Nathalie Davila Family Medicine 801 Matlock Rd, Mansfield, TX 76063-9174 2010-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639721905 Lora Harris Nurse Practitioner 1029 S. Trimble Rd, Mansfield, OH 44906 2019-07-16
1528316551 Bumps N' Bruises Pediatric Urgent Care Center Nurse Practitioner 2251 Matlock Rd, Mansfield, TX 76063-3825 2012-08-23
1528276391 Tara Lyn Coleman Nurse Practitioner 454 Chauncy St, Mansfield, MA 02048-1110 2007-05-18
1720581168 Lindsay Thatcher Nurse Practitioner 706 Hunters Row Ct, Mansfield, TX 76063-4001 2018-03-12
1417489725 Danielle Kreais Nurse Practitioner 600 W 3rd St, Mansfield, OH 44906-2633 2017-03-28
1003235672 Lacy Pitchford Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1659797611 Christie Lea Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2014-03-13
1073858338 Heather Lynne Hurford Nurse Practitioner 701 Matlock Rd, Mansfield, TX 76063-9164 2012-11-27
1871873844 Jennifer Lee Harris Nurse Practitioner 454 Chauncy St, Mansfield, MA 02048-1110 2011-08-23
1578861779 Melissa Dawn Crocker Nurse Practitioner 701 Matlock Rd, Mansfield, TX 76063-9164 2011-03-11
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Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

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.

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