Regina A Stevens

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1726 Issued in KY

Practice address

199 Adams Street
Liberty, KY 42539

Phone

(606) 678-4761

Fax

(606) 676-9671

NPI assigned

Feb 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lincoln County Health Department

  • Public Health or Welfare Agency
  • Stanford, KY
  • NPI 1861477523
  NPD
• Lake Cumberland District Health Department

  • Public Health or Welfare Agency
  • Columbia, KY
  • NPI 1528102472
  NPD (past)
• Lake Cumberland District Health Department

  • Public Health Dentistry
  • Somerset, KY
  • NPI 1528203825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1114249455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOURNE AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011916",
            "telephone_number": "606-678-4761",
            "fax_number": "606-676-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 ADAMS STREET",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "606-678-4761",
            "fax_number": "606-676-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "REGINA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20044012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20100012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20027017",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20116018",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20029013",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20109013",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20023016",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20101014",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20901211",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20074019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa Smith, OTR/L
• Jacklyn Elaine Spagnoletti
• Brooke Sprowles, PHARM D.
• Phyllis Reynolds Spurlin, R,PH.
• Stanford Family Medicine & Obstetrics PSC
• Dawn Renee Stotts, P.T.A.
• Hanna Marie Strickland, CPM
• Three Hearts
• Michael L Turner II, D.C.
• Ann T Vaughn

• All providers in Liberty, KY
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.