Karen Denise Stevenson, RN, BSN, MS
Individual provider Active NPI School Registered Nurse · Texico, NM
NPI 1104971001 · NPPES record last updated Feb 23, 2011
Key facts
- NPI
- 1104971001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 250245 (TX)
- Practice address
- 520 North Griffin Street
Texico, NM 88135 - Phone
- (505) 482-3801
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250245 | TX | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Educational Center #6 | Past | Accepting new patients | |
| Regional Educational Center #6 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 250245 | TX | Yes |
Addresses
Primary practice location
520 North Griffin Street
Texico, NM 88135
Mailing address
PO Box 847
Portales, NM 88130-0847
Phone (575) 562-4455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E7641 | Medicaid | NM |
Other providers in Texico, NM
- Christine Anne Little
- Med-Trans Corporation
- Med-Trans Corporation
- Patricia Ann Ohare
- Mindy Michelle Sena
All providers in Texico, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.