Active NPI
Jillian Stevens, CMF
- Mastectomy Fitter
- Asheville, NC
National Provider Identifier
1144052523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- C53470
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C53470 | NC | MD | Mastectomy Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pink Regalia, LLC | Past | Accepting new patients | |
| Pink Regalia, LLC | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Waynesville, NC
- NPI 1295046878
-
- Durable Medical Equipment & Medical Supplies
- Asheville, NC
- NPI 1518339696
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.