Theresa Stevens, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS-3683 Issued in ZZ

Practice address

3052 Harbor Blvd Ste 1
Port Charlotte, FL 33952-6758

Phone

(941) 255-0038

Fax

(941) 255-0728

NPI assigned

Feb 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1124340104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "612-351-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 HARBOR BLVD STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526758",
            "telephone_number": "941-255-0038",
            "fax_number": "941-255-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ZZ",
            "license": "AS-3683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D Christesen MD PA
• Steven Jakubaitis DMD PA
• Carol W Stevens, DDS
• Deanna Stevens, HAS
• Grant Edward Stevens, HIS
• Troy Stevens
• Ashleigh Taylor Still, APRN, FNP-BC
• Stillwaters Counseling of SW Florida PLLC
• Stacey Stinger, ARNP
• Alexander Stoddard, DMD

• Hearing Instrument Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.