Roderick Wayne Stephenson Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

008889044 Issued in LA

Practice address

4806 5L Westwood Park Dr
Shreveport, LA 71109-6257

Phone

(318) 636-4444

Fax

(318) 636-4444

NPI assigned

Jul 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1023450533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 5L WESTWOOD PARK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096257",
            "telephone_number": "318-636-4444",
            "fax_number": "318-636-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 5L WESTWOOD PARK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096257",
            "telephone_number": "318-636-4444",
            "fax_number": "318-636-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "RODERICK",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "008889044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvilynn Stephens
• Brenda Bailey Stephenson
• Jasmine Monique Stephenson, MHS
• John Robert Stephenson, CRNA
• Laura Mense Stephenson
• Tyler Andrew Stephenson
• Stepped Out on Faith Transportation (Soof)
• Sterling Spine, LLC
• Eileen R Sterling, PT
• Elise Sterling, MD

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.