STEPHANIE BURDESHAW
NPI 1184181620
Nurse Practitioner in Clovis, CA

Q: What is Stephanie Burdeshaw's NPI number?

The NPI number for Stephanie Burdeshaw is 1184181620. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Q: What is Stephanie Burdeshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 20, 2019

4189 SIERRA MADRE AVE, CLOVIS, CA 93619(850) 557-3101 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2026, Feb 20, 2019 (2 updates tracked since 2019).

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About Stephanie Burdeshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE BURDESHAW (NPI 1184181620) is an individual nurse practitioner in Clovis, California, licensed in California (692429) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1184181620

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHANIE BURDESHAW

Location Address4189 SIERRA MADRE AVEClovis, CA 93619-5239

Mailing Address4189 Sierra Madre AveClovis, CA 93619-5239 · (559) 453-1008

Phone(850) 557-3101

Sole ProprietorYes

Enumeration DateFebruary 20, 2019

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1184181620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 692429

Definition

(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.

4189 SIERRA MADRE AVE, Clovis, CA 93619

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Burdeshaw's NPI number?

The NPI number for Stephanie Burdeshaw is 1184181620. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Where is Stephanie Burdeshaw located?

Stephanie Burdeshaw practices at 4189 Sierra Madre Ave, Clovis, CA 93619. The listed phone number is (850) 557-3101.

What is Stephanie Burdeshaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Burdeshaw was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.