Individual provider Active NPI

Cierra M Stevens

  • Speech-Language Pathologist
  • Williston, ND
National Provider Identifier
1033893789
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2430 Issued in ND
Practice address
1905 14TH St W
Williston, ND 58801-4063
Phone
(701) 651-6437
Fax
(701) 516-8462
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2430 ND Primary

Addresses

Primary practice location

1905 14TH St W
Williston, ND 58801-4063

Mailing address

1905 14TH St W
Williston, ND 58801-4063
Phone (701) 651-6437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000884 ND Practitioner - Qualified Speech Language Pathologist 8820456106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Health Partners, LLCGroup PAC ID 8729483284, 10 clinicians

Practice addresses (Care Compare)

1905 14TH St W
Williston, ND 58801-4063
Phone (701) 651-6437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Health Partners, LLC CurrentSince Jun 18, 2023 Accepting new patients
Milestone Health Partners, LLC CurrentSince Jul 3, 2023 Accepting new patients

Locations

1905 14th St W
Williston, ND 58801
Phone (701) 651-6437

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1033893789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CIERRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.