CAMERON STEPHENSON NP NPI 1790065738

NPI Information

  • NPI: 1790065738
  • Provider Name: CAMERON STEPHENSON, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 37 S 2ND E
    REXBURG, ID
    ZIP 83440
  • Phone: (208) 356-0234

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NPI Details

Cameron Stephenson, NP is a pediatrics nurse practitioner in Rexburg, ID. Cameron Stephenson, NP NPI is 1790065738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

37 S 2ND E
REXBURG, ID
ZIP 83440-906
Phone: (208) 356-0234
Fax: (208) 488-4702

The NPI 1790065738 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 8/22/2011 and was last updated on 4/29/2024.

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
1363LP0200XNurse PractitionerPediatrics3009120KENTUCKYYes
2363LP0200XNurse PractitionerPediatrics1-132527ALABAMANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health75884IDAHONo
4363LP0200XNurse PractitionerPediatrics178734TENNESSEENo

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

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