Active NPI
Carolyn Elizabeth Stevens, A.P.N.
- Family Nurse Practitioner
- West Memphis, AR
National Provider Identifier
1083831069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A01672 ANP
- Practice address
- 901 N 7TH St
West Memphis, AR 72301-2001 - Phone
- (870) 735-4334
- Fax
- (870) 735-1393
- NPI assigned
- Apr 19, 2007
- Last updated
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A01672 ANP | AR | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | P00843 | AR | |
| Community Health Registered Nurse | 163WC1500X | R31912 | AR |
Addresses
Primary practice location
901 N 7TH St
West Memphis, AR 72301-2001
Mailing address
228 Cabriolet St
Marion, AR 72364-2516
Phone (901) 485-4156
Other names 1
- Ms. Beth Stevens
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R31912 | AR | MD | Community Health Registered Nurse |
| A01672 ANP | AR | MD | Family Nurse Practitioner |
| P00843 | AR | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1083831069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 CABRIOLET ST",
"city": "MARION",
"state": "AR",
"postal_code": "723642516",
"telephone_number": "901-485-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N 7TH ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723012001",
"telephone_number": "870-735-4334",
"fax_number": "870-735-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CAROLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A01672 ANP",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "P00843",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "AR",
"license": "R31912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "STEVENS",
"prefix": "MS.",
"credential": "A.P.N.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.