Individual provider Active NPI

Linda D Stevens, DC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1013935345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7948 Issued in FL
Practice address
12951 Metro Pkwy Ste 5
Fort Myers, FL 33912-1333
Phone
(239) 489-4100
Fax
(239) 489-1314
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7948 FL Primary

Addresses

Primary practice location

12951 Metro Pkwy Ste 5
Fort Myers, FL 33912-1333

Mailing address

12951 Metro Pkwy Ste 5
Fort Myers, FL 33912-1333
Phone (239) 489-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000496 FL Practitioner - Chiropractic 8224100060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Family Chiropractic P LGroup PAC ID 1658443403, 2 clinicians

Practice addresses (Care Compare)

14090 Metropolis Ave
Fort Myers, FL 33912-4451
Phone (239) 489-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7948FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Family Chiropractic P L Chiropractor CurrentSince Apr 21, 2008 Accepting new patients
Non-Surgical Spine & Disc Care Ctr, Inc Chiropractor Past Accepting new patients

Locations

14090 Metropolis Ave
Ste 101
Fort Myers, FL 33912
Phone (239) 431-9432

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013935345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 METRO PKWY STE 5",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121333",
            "telephone_number": "239-489-4100",
            "fax_number": "239-489-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 METRO PKWY STE 5",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121333",
            "telephone_number": "239-489-4100",
            "fax_number": "239-489-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LINDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.