Nicole Michelle Stevens, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME102166 Issued in FL

Practice address

14261 SW 120TH Street
Chen Medical Tamiami Airport, LLC
Miami, FL 33186-6951

Phone

(305) 378-1302

Fax

(305) 378-1311

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Chen Neighborhood Medical Centers of South Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881024800
  Medicare reassignment

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1053589903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH STREET",
            "address_2": "CHEN MEDICAL TAMIAMI AIRPORT, LLC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866951",
            "telephone_number": "305-378-1302",
            "fax_number": "305-378-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH STREET",
            "address_2": "CHEN MEDICAL TAMIAMI AIRPORT, LLC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866951",
            "telephone_number": "305-378-1302",
            "fax_number": "305-378-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN8966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Price MD PA
• Steven's RX,LLC
• Steven's Sweet Home LLC
• Stevens Grandparents Inc.
• Diana Nicole Stevens, DNP, MSN, APRN FNP
• Rebekah Stevens, PA-C
• Shenelle' Stevens
• Deina Rae Stevenson
• Jason Stevenson, MS, RDN, LDN
• Steward CGH, Inc. (Steward Coral Gables Hospital)

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.