Active NPI
Steven M Adkison, RN
- Psychiatric/Mental Health Nurse Practitioner
- Beverly, MA
National Provider Identifier
1124625892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- MCS004687B
- Practice address
- 197 Lothrop St
Beverly, MA 01915-3763 - Phone
- (978) 882-3768
- NPI assigned
- Oct 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2321911 | MA | MD | Psychiatric/Mental Health Registered Nurse |
| MCS004687B | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2321911 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | MCS004687B | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
197 Lothrop St
Beverly, MA 01915-3763
Mailing address
197 Lothrop St
Beverly, MA 01915-3763
Phone (978) 882-3768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2023.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1124625892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 LOTHROP ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153763",
"telephone_number": "978-882-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 LOTHROP ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019153763",
"telephone_number": "978-882-3768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKISON",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-06",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2321911",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "MCS004687B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.