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Active NPI 1497944425 Individual Practitioner Female Practitioner

Kerry Rose Stephenson , APRN

Nurse Practitioner - Pediatrics • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Kerry Stephenson, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Middletown, CT. Practice services are available at 575 MAIN ST FL 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

575 Main St Fl 2
Attn: Credentialing Dpt

Middletown, CT 064572845

Telephone 8603476971
Associated Practice Facility / Clinic
🏢 Community Health Center, Inc. Facility NPI 1568409365

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Middletown, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Middletown, CT (426 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License CT 003654

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
004236338 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kent Sunderland , PsyD

Psychologist - Clinical

NPI 1003263245

Doctor of Psychology (Psy.D.)

NPI 1013051440

Licensed Clinical Social Worker

Michael Lauro , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1023530789

Licensed Alcohol and Drug Counselor

NPI 1033187539

Master of Social Work

Lisbeth Greist , LCSW, LPCA

Social Worker - Clinical

NPI 1043958978

Licensed Clinical Social Worker, LPCA

NPI 1063418218

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 064572845 (Tel: 8603476971)

📍
Updated Business Mailing Address February 09, 2012

Registered at 1 SHAWS CV, NEW LONDON, CT 063204902 (Tel: 8604478304)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as KERRY STEPHENSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Nurse Practitioner (License #003654 in CT)

🟢
Initial NPI Registration & Enumeration October 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497944425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2007
Last Update: February 09, 2012
Sole Proprietor: No

Mailing Address

1 Shaws Cv

New London, CT 063204902

Phone: 8604478304

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.