Active NPI
Leah Yenney Stevenson, COTA/L
- Gerontology Occupational Therapist
- Wilson, NC
National Provider Identifier
1104463272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 9183
- Practice address
- 3501 Senior Village LN NW
Wilson, NC 27896-9618 - Phone
- (252) 567-4424
- NPI assigned
- Dec 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 9183 | NC | Primary |
Addresses
Primary practice location
3501 Senior Village LN NW
Wilson, NC 27896-9618
Mailing address
219 Villa St
Rocky Mount, NC 27804-5622
Phone (252) 567-4424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9183 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575676800000",
"number": "1104463272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 VILLA ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045622",
"telephone_number": "252-567-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 SENIOR VILLAGE LN NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278969618",
"telephone_number": "252-567-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "LEAH",
"middle_name": "YENNEY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-07",
"last_updated": "2019-12-07",
"certification_date": "2019-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NC",
"license": "9183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- Stephanie Hope Stephens, LCSW
- Stepping Stones Community Resources, Inc
- Stepping Stones Community Resources, Inc
- Stepping Stones Community Resources, Incorporated
- Stepping Stones Community Resources, Incorporated
- Douglas Franklin Stewart, MPT
- Carla E. Stoddard, ATC, LAT
- Russell Bryant Stone, OD
- Alisha Strayhorn, LCMHCA, MS, NCC
- Ansley Holland Stroud, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.