Active NPI
Jennifer Lindsley Stevens, RPH
- Pharmacist
- Kennebunk, ME
National Provider Identifier
1114474475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4906
- Practice address
- 11 Carriedale LN
Kennebunk, ME 04043-6041 - Phone
- (207) 985-3587
- NPI assigned
- Sep 4, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4906 | ME | Primary |
| Pharmacist | 183500000X | R1695 | NH | |
| Pharmacist | 183500000X | 5302028334 | MI |
Addresses
Primary practice location
11 Carriedale LN
Kennebunk, ME 04043-6041
Mailing address
11 Carriedale LN
Kennebunk, ME 04043-6041
Phone (207) 251-4196
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR4906 | ME | MD | Pharmacist |
| 5302028334 | MI | MD | Pharmacist |
| R1695 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472947200000",
"number": "1114474475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CARRIEDALE LN",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436041",
"telephone_number": "207-251-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CARRIEDALE LN",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436041",
"telephone_number": "207-985-3587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JENNIFER",
"middle_name": "LINDSLEY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-04",
"last_updated": "2016-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4906",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1695",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028334",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.