Individual provider Active NPI

Jillian Stevens, CMF

  • Mastectomy Fitter
  • Asheville, NC
National Provider Identifier
1144052523
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C53470 Issued in NC
Practice address
485 Hendersonville Rd Ste 3
Asheville, NC 28803-2700
Phone
(828) 785-1881
Fax
(828) 785-1882
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X C53470 NC Primary

Addresses

Primary practice location

485 Hendersonville Rd Ste 3
Asheville, NC 28803-2700

Mailing address

1030 Brown Cove Rd
Clyde, NC 28721-6898
Phone (828) 246-4754

Other practice location 1

452 Hazelwood Ave
Waynesville, NC 28786-1946
Phone (828) 454-1004

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

LicenseStateTypeSpecialty
C53470NCMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Pink Regalia, LLC PastSince Aug 18, 2024 Accepting new patients
Pink Regalia, LLC PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144052523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BROWN COVE RD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216898",
            "telephone_number": "828-246-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HENDERSONVILLE RD STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032700",
            "telephone_number": "828-785-1881",
            "fax_number": "828-785-1882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Hazelwood Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287861946",
            "country_code": "US",
            "telephone_number": "828-454-1004",
            "fax_number": "828-454-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JILLIAN",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "NC",
            "license": "C53470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.