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Active NPI 1720812183 Individual Practitioner Female Practitioner

Stephanie White Peddy

Nurse Practitioner • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Peddy is a registered healthcare professional specializing in Nurse Practitioner in Beaumont, TX. Practice services are available at 755 N 11TH ST STE P2280 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

755 N 11th St Ste P2280

Beaumont, TX 777021525

Telephone 4092361600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
49 Specialists

Practicing in Beaumont, TX (4894 Statewide)

Telehealth Adoption Rate
2.0% 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

CMS Verified: 2024-08-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1173063

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Sassan Ehdaie , MD

Anesthesiology - Pain Medicine

NPI 1295926475

Doctor of Medicine (M.D.)

Lindsay Nagel , FNP-C

Nurse Practitioner - Family

NPI 1821649872

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2024

Registered at 755 N 11TH ST STE P2280, BEAUMONT, TX 777021525 (Tel: 4092361600)

📍
Updated Business Mailing Address August 28, 2024

Registered at 755 N 11TH ST STE P2280, BEAUMONT, TX 777021525 (Tel: 4092361600)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as STEPHANIE PEDDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Nurse Practitioner (License #1173063 in TX)

🟢
Initial NPI Registration & Enumeration August 28, 2024

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: 1720812183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2024
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

755 N 11th St Ste P2280

Beaumont, TX 777021525

Phone: 4092361600

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.