Active NPI
Katherine Ann Stevens, RN,BSN
- Registered Nurse
- San Luis Obispo, CA
National Provider Identifier
1114254307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 467109
- Practice address
- 1288 Morro St
San Luis Obispo, CA 93401-6301 - Phone
- (805) 547-1149
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 467109 | CA | Primary |
Addresses
Primary practice location
1288 Morro St
San Luis Obispo, CA 93401-6301
Mailing address
1715 Alta St
San Luis Obispo, CA 93401-3004
Phone (805) 550-3082
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 467109 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1114254307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 ALTA ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013004",
"telephone_number": "805-550-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 MORRO ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016301",
"telephone_number": "805-547-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "RN,BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "467109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.