Active NPI
Julie A Stevens, NP
- Obstetrics & Gynecology Nurse Practitioner
- Meridian, ID
National Provider Identifier
1225008998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP470A
- Practice address
- 3520 E. Louise Dr
Meridian, ID 83642 - Phone
- (208) 955-0350
- Fax
- (208) 955-0352
- NPI assigned
- Jan 25, 2006
- Last updated
- Jan 15, 2013
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP470A | CA | Primary |
Addresses
Primary practice location
3520 E. Louise Dr
Meridian, ID 83642
Mailing address
3520 E. Louise Dr
Meridian, ID 83642
Phone (208) 955-0350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010148210 | Other | ID | REGENCE BLUE SHIELD OF ID |
| NPJD1 | Other | ID | BLUE CROSS OF IDAHO |
| 806990600 | Medicaid | ID |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP470A | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Health Associates, PLLC | Past | Accepting new patients | |
| T-Medica Mobil Anesthesia Inc. | Past | Accepting new patients | |
| OB-GYN Associates, PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Meridian, ID
- NPI 1306816079
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1306588355
-
- Obstetrics & Gynecology Physician
- Boise, ID
- NPI 1013957885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1225008998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 E. LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-955-0350",
"fax_number": "208-955-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 E. LOUISE DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-955-0350",
"fax_number": "208-955-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JULIE",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP470A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010148210",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "NPJD1",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806990600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.