Rosaline Caroline Stevenson, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP025390 Issued in PA

Practice address

5300 Kidspeace Dr
Orefield, PA 18069-2000

Phone

(610) 799-7738

NPI assigned

Oct 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1225791619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 ROCKBRIDGE RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649807",
            "telephone_number": "646-258-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692000",
            "telephone_number": "610-799-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ROSALINE",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Peter Slivka, FAMILY NURSE PRACTIT
• Raji Srinivasan, M.D.
• St. Luke'S Physician Group, Inc.
• Chynna Stebilla, CRS, CFRS
• Deborah Stephens
• David Sullivan Jr., PMHNP-BC
• Pamela Talbot-Atkinson
• John H Taylor, CADC
• Team Counseling Concepts
• Team Counseling Concepts, Inc

• Psychiatric/Mental Health Nurse Practitioner in Orefield, PA
• Providers in Orefield, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.