Active NPI
Elena Valerie Stephens, M.D.
- Student in an Organized Health Care Education/Training Program
- Austin, TX
National Provider Identifier
1114984903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- L7197
- Practice address
- 100 West Dean Keeton St
Austin, TX 78712-7339 - Phone
- (512) 475-8327
- Fax
- (512) 323-7550
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | L7197 | TX | Primary |
Addresses
Primary practice location
100 West Dean Keeton St
Austin, TX 78712-7339
Mailing address
100 West Dean Keeton St
Austin, TX 78712-7339
Phone (512) 475-8327
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7197 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1114984903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WEST DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787127339",
"telephone_number": "512-475-8327",
"fax_number": "512-323-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787127339",
"telephone_number": "512-475-8327",
"fax_number": "512-323-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ELENA",
"middle_name": "VALERIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "L7197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.