Organization Active NPI

Stevie Flynn LLC

  • Registered Dietitian
  • Thousand Oaks, CA
National Provider Identifier
1174339527
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
STEVIE FLYNN LLC
Practice address
2996 Calle Estepa
Thousand Oaks, CA 91360-4673
Phone
(805) 428-5588
NPI assigned
Dec 9, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Stevie FlynnNPI 1700624533
Title
Ceo
Phone
(805) 428-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2996 Calle Estepa
Thousand Oaks, CA 91360-4673

Mailing address

2996 Calle Estepa
Thousand Oaks, CA 91360-4673
Phone (805) 428-5588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1174339527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 CALLE ESTEPA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604673",
            "telephone_number": "805-428-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 CALLE ESTEPA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604673",
            "telephone_number": "805-428-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVIE FLYNN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-428-5588"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

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

Verify at the official NPI Registry.