STEPHANIE WHITE PEDDY
NPI 1720812183
Nurse Practitioner in Beaumont, TX

Active since August 28, 2024
755 N 11TH ST STE P2280, BEAUMONT, TX 77702(409) 236-1600 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie White Peddy NPPES

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

STEPHANIE WHITE PEDDY (NPI 1720812183) is an individual nurse practitioner in Beaumont, Texas, licensed in Texas (1173063) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1720812183
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE WHITE PEDDY
Location Address755 N 11TH ST STE P2280Beaumont, TX 77702-1525
Mailing Address755 N 11th St Ste P2280Beaumont, TX 77702-1525 · (409) 236-1600
Sole ProprietorNo
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
NPI 1720812183 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 TX · 1173063
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.
755 N 11TH ST STE P2280, Beaumont, TX 77702

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
755 N 11TH ST STE P2280
BEAUMONT, TX 77702
Nurse Practitioner (Family)
755 N 11TH ST STE P2280, COASTAL PAIN CARE
BEAUMONT, TX 77702
Internal Medicine (Interventional Cardiology)
755 N 11TH ST STE P2280
BEAUMONT, TX 77702
Anesthesiology (Pain Medicine)
755 N 11TH ST STE P2280
BEAUMONT, TX 77702
Nurse Practitioner (Family)
755 N 11TH ST STE P2280
BEAUMONT, TX 77702

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 Peddy's NPI number?

The NPI number for Stephanie Peddy is 1720812183. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Stephanie Peddy located?

Stephanie Peddy practices at 755 N 11th St Ste P2280, Beaumont, TX 77702. The listed phone number is (409) 236-1600.

What is Stephanie Peddy'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 Peddy was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.