KELLI DEAN STEPHENSON FNP-C NPI 1780989772

NPI Information

  • NPI: 1780989772
  • Provider Name: KELLI DEAN STEPHENSON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2518 N MAIN ST
    MIAMI, OK
    ZIP 74354
  • Phone: (918) 540-9077

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NPI Details

Kelli Dean Stephenson, FNP-C is a family nurse practitioner in Miami, OK with 16 years of experience. Kelli Dean Stephenson, FNP-C NPI is 1780989772. 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:

2518 N MAIN ST
MIAMI, OK
ZIP 74354-602
Phone: (918) 540-9077
Fax: (918) 540-9080

The NPI 1780989772 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 1/21/2011 and was last updated on 8/13/2025.

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
1363L00000XNurse Practitioner33371TENNESSEENo
2363LF0000XNurse PractitionerFamily201394741NP-PPOREGONNo
3363LF0000XNurse PractitionerFamilyAP60494710WASHINGTONNo
4363LX0001XNurse PractitionerObstetrics & Gynecology201800264NP-PPOREGONNo
5367A00000XAdvanced Practice Midwife33371TENNESSEENo
6367A00000XAdvanced Practice Midwife201800264NP-PPOREGONNo
7363LF0000XNurse PractitionerFamily225099OKLAHOMAYes

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: 11/21/2025

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