STEPHANIE MARIE BASHAM AGAC-NP NPI 1356071328

NPI Information

  • NPI: 1356071328
  • Provider Name: STEPHANIE MARIE BASHAM, AGAC-NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 CRYSTAL SPRING AVE SW STE 201
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 853-0100

Map and Directions

Get Directions

NPI Details

Stephanie Marie Basham, AGAC-NP is an acute care nurse practitioner in Roanoke, VA with 4 years of experience. Stephanie Marie Basham, AGAC-NP NPI is 1356071328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014-465
Phone: (540) 853-0100

The NPI 1356071328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2022 and was last updated on 11/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care0024183788VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI