Crystal Bleu Stevenson, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT6542 Issued in CA

Practice address

6091 Wintergreen Dr
Huntington Beach, CA 92647-6463

Phone

(714) 496-2299

Fax

(866) 274-0162

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Crystal Bleu Battin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1184953754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 WINTERGREEN DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476463",
            "telephone_number": "714-496-2299",
            "fax_number": "866-274-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 WINTERGREEN DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476463",
            "telephone_number": "714-496-2299",
            "fax_number": "866-274-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "CRYSTAL",
        "middle_name": "BLEU",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT6542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OT0065420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BATTIN",
            "middle_name": "BLEU",
            "prefix": "MISS",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven D Macina DO a Professional Medical Corporation
• Steven D Stockard DPM a Professional Podiatric Corp
• Steven F Weinstein MD a Professional Corporation
• Steven J. Nguyen, DDS. PC.
• Eric W Stevens, MD
• Courtenay Stewart
• Devin Stewart
• Devin Jay Stewart, PPS, SCHOOL PSYCH
• Dniqko Stewart
• Elise Stewart

• Pediatric Occupational Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.