Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Edmonds

Individual provider Registered Nurse · NPI 1063249308

Stephanie Edmonds is a Nurse Practitioner in Vancouver, Washington. Qualified in 2014, 12 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2415 NE 134th St Ste 301
Vancouver, WA 98686-3029
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2204 Pacific Ave N, Long Beach, WA 98631-3300 — (360) 642-3787

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP70023788 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60258435 (WA)

Record details

NPI number1063249308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2024
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 2025
Mailing address2204 Pacific Ave N, Long Beach, WA 98631-3300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vancouver