Raven Leshea Stewart

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S12647 Issued in AL

Practice address

1524 Rayburn Ave
Guntersville, AL 35976-1720

Phone

(256) 558-2516

NPI assigned

Jan 23, 2020

Last updated

Jan 23, 2020By the provider in NPPES

Sex

Female

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1083244586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 RAYBURN AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761720",
            "telephone_number": "256-558-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 RAYBURN AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761720",
            "telephone_number": "256-558-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RAVEN",
        "middle_name": "LESHEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen B Henderson
• Marie Nicole Stephens, LICSW
• Patricia Edge Sterbutzel, CRNA
• Brittany Michelle Stevens
• Randall K Stewart, MD
• Terre Stewart
• Tara Lindsay Stokes Garrison, LPC
• William Pipkin Stone Jr., MD
• Madalyn Ray Stott, LMSW
• Tonja Strickland, LPN

• Student in an Organized Health Care Education/Training Program in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.