Tracy Stevens, REGISTERED NURSE

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

License

494408-1 Issued in NY

Practice address

280 Seward Street
Rochester, NY 14608

Phone

(585) 201-9008

Fax

(585) 235-4123

NPI assigned

Feb 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1033397252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SEWARD STREET",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14608",
            "telephone_number": "585-201-9008",
            "fax_number": "585-235-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SEWARD STREET",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14608",
            "telephone_number": "585-201-9008",
            "fax_number": "585-235-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "NY",
            "license": "494408-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "494408",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02141808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Nicole Stevens
• Linda Margret Stevens, BA/CPRP
• Megan Stevens, MS CCC SLP
• Timothy Stevens
• Timothy P Stevens, MD
• Jennifer Stevenson
• Latoya D Stevenson, RN
• Meghan Stevenson
• Rabia M Stevenson, PHARM.D.
• Richard Tyrone Stevenson Jr.

• Religious Nonmedical Nursing Personnel in Rochester, NY
• Providers in Rochester, NY by specialty
• Religious Nonmedical Nursing Personnel in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.