Individual provider Active NPI

Jodi Stewman

  • Non-emergency Medical Transport (VAN)
  • Washington, UT
National Provider Identifier
1235880279
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
00008376 Issued in UT
Practice address
2194 N Serenita St
Washington, UT 84780-3189
Phone
(435) 632-2099
Fax
(833) 632-1248
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 00008376 UT
Non-emergency Medical Transport (VAN) 343900000X 00008376 UT Primary

Addresses

Primary practice location

2194 N Serenita St
Washington, UT 84780-3189

Mailing address

PO Box 2604
Mesquite, NV 89024-2604
Phone (833) 632-1248

Other identifiers 1

IdentifierTypeStateIssuer
0207468MedicaidMT

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

State licenses

LicenseStateTypeSpecialty
00008376UTMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1235880279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2604",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890242604",
            "telephone_number": "833-632-1248",
            "fax_number": "833-632-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 N SERENITA ST",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847803189",
            "telephone_number": "435-632-2099",
            "fax_number": "833-632-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWMAN",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "UT",
            "license": "00008376",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "UT",
            "license": "00008376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207468",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

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