Active NPI
Jaimie Stevens
- Licensed Vocational Nurse
- Westhampton Beach, NY
National Provider Identifier
1144020892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 290130-01
- Practice address
- 7 Seafield LN
Westhampton Beach, NY 11978-2719 - Phone
- (631) 288-1122
- NPI assigned
- Mar 13, 2025
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 290130-01 | NY | Primary |
Addresses
Primary practice location
7 Seafield LN
Westhampton Beach, NY 11978-2719
Mailing address
77 Silas Carter Rd
Manorville, NY 11949-2413
Phone (631) 275-4611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290130-01 | NY | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1144020892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SILAS CARTER RD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492413",
"telephone_number": "631-275-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SEAFIELD LN",
"city": "WESTHAMPTON BEACH",
"state": "NY",
"postal_code": "119782719",
"telephone_number": "631-288-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JAIMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "NY",
"license": "290130-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westhampton Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.