Individual provider Active NPI

Steven M Adkison, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly, MA
National Provider Identifier
1124625892
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
MCS004687B Issued in MA
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

LicenseStateTypeSpecialty
RN2321911MAMDPsychiatric/Mental Health Registered Nurse
MCS004687BMAMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2321911 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MCS004687B MA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.