Individual provider Active NPI

Stephanie Siggard Stevens, M.D.

  • Pediatrics Physician
  • Centennial, CO
National Provider Identifier
1073590758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39603 Issued in CO
Practice address
5657 S Himalaya St
Suite 100
Centennial, CO 80015-5307
Phone
(303) 699-6200
Fax
(720) 460-4783
NPI assigned
Dec 23, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 39603 CO Primary

Addresses

Primary practice location

5657 S Himalaya St
Suite 100
Centennial, CO 80015-5307

Mailing address

3300 S Parker Rd Ste 404
Aurora, CO 80014-3529
Phone (720) 974-7149

Other practice location 1

9397 Crown Crest Blvd Ste 330
Parker, CO 80138-8788
Phone (303) 699-6200

Other practice location 2

1300 S Potomac St Ste 156
Aurora, CO 80012-4526
Phone (303) 699-6200

Other practice location 3

2373 Central Park Blvd Unit 220
Denver, CO 80238-2300
Phone (303) 699-6200

Other identifiers 1

IdentifierTypeStateIssuer
82255237MedicaidCO

Other names 1

  • Stephanie Siggard Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39603COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Aurora Pediatric Associates, LLP Pediatrics Past Accepting new patients
Aurora Pediatric Associates, LLP Pediatrics PastSince Oct 19, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sstevens14232@direct.childrenscolorado.org

Organizations & group practices 4

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073590758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S PARKER RD STE 404",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143529",
            "telephone_number": "720-974-7149",
            "fax_number": "720-974-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155307",
            "telephone_number": "303-699-6200",
            "fax_number": "720-460-4783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9397 Crown Crest Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388788",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "303-805-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Potomac St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124526",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "303-338-9811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2373 Central Park Blvd Unit 220",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382300",
            "country_code": "US",
            "telephone_number": "303-699-6200",
            "fax_number": "720-974-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "STEPHANIE",
        "middle_name": "SIGGARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "39603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82255237",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SIGGARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.