Liesha L Stevenson

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

39 Louise LN
Cahokia, IL 62206-2736

Phone

(618) 332-9800

NPI assigned

Dec 11, 2021

Last updated

Dec 11, 2021By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1225797814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 LOUISE LN",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062736",
            "telephone_number": "618-332-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LOUISE LN",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062736",
            "telephone_number": "618-332-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "LIESHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICAIL HOME SERVICES",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jewel Scroggins
• Southern Illinois Healthcare Foundation, Inc. (Cahokia Health Center)
• Southern Illinois Healthcare Foundation, Inc. (Cahokia School Based Center)
• Southern Illinois Home Medical Equipment Inc
• Cynthia Lou Spalding
• Karashia Aurilla Tabbs, MBA, LCPC, NCC, LPC
• Tammie Renee Thomas
• Ashley Thompson
• Sharon Charlene Utterback, LPTA
• Walgreen Co (Walgreens #03136)

• Homemaker in Cahokia, IL
• Providers in Cahokia, IL by specialty
• Homemaker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.