Individual provider Active NPI

Darlene S Stevens, RN,MN

  • Registered Nurse
  • Seward, AK
National Provider Identifier
1255548087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
21142 Issued in AK
Practice address
417 First Ave.
Seward, AK 99664-0365
Phone
(907) 224-2800
Fax
(907) 224-3798
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 21142 AK Primary

Addresses

Primary practice location

417 First Ave.
Seward, AK 99664-0365

Mailing address

305 Ash Street
Box 3374
Seward, AK 99664-3374
Phone (907) 224-5829

Other identifiers 3

IdentifierTypeStateIssuer
NA2487MedicaidAK
HH2487MedicaidAK
PCG214MedicaidAK

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
21142AKMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255548087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ASH STREET",
            "address_2": "BOX 3374",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996643374",
            "telephone_number": "907-224-5829",
            "fax_number": "907-224-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FIRST AVE.",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640365",
            "telephone_number": "907-224-2800",
            "fax_number": "907-224-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DARLENE",
        "middle_name": "S",
        "credential": "RN,MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "21142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA2487",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH2487",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCG214",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.