Active NPI
Sherlene Stevens, IND DRIVER-PROVIDER
- Private Vehicle
- Chestertown, MD
National Provider Identifier
1194402420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 101 Morgnec Rd Apt J301
Chestertown, MD 21620-1169 - Phone
- (410) 671-5372
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
101 Morgnec Rd Apt J301
Chestertown, MD 21620-1169
Mailing address
503 Washington Ave Unit 315
Chestertown, MD 21620-1217
Phone (410) 671-5372
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1194402420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 WASHINGTON AVE UNIT 315",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201217",
"telephone_number": "410-671-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MORGNEC RD APT J301",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201169",
"telephone_number": "410-671-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SHERLENE",
"credential": "IND DRIVER-PROVIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.