Active NPI
Amy Juliene Stephens, CTRS
- Recreation Therapist
- Reno, NV
National Provider Identifier
1023046851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 47433
- Practice address
- 1000 Locust St
Reno, NV 89502-2597 - Phone
- (775) 786-7200
- Fax
- (775) 337-2287
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 47433 | UT | Primary |
Addresses
Primary practice location
1000 Locust St
Reno, NV 89502-2597
Mailing address
711 Marsh Ave
Reno, NV 89509-1422
Phone (775) 348-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47433 | Other | NV | RECREATION THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47433 | UT | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023046851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 MARSH AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895091422",
"telephone_number": "775-348-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LOCUST ST",
"city": "RENO",
"state": "NV",
"postal_code": "895022597",
"telephone_number": "775-786-7200",
"fax_number": "775-337-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "AMY",
"middle_name": "JULIENE",
"name_prefix": "Ms.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "UT",
"license": "47433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RECREATION THERAPY",
"identifier": "47433",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.