Active NPI
Meredith Clair Stevens
- Pediatric Nurse Practitioner
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F383720-01
- Practice address
- 40 Saw Mill River Rd Ste FB1
Hawthorne, NY 10532-1528 - Phone
- (914) 358-0188
- NPI assigned
- Nov 25, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F383720-01 | NY | Primary |
Addresses
Primary practice location
40 Saw Mill River Rd Ste FB1
Hawthorne, NY 10532-1528
Mailing address
63 Myano LN Apt 2
Stamford, CT 06902-4535
Phone (914) 874-7216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F383720-01 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Current | Accepting new patients | |
| Pomona Pediatrics PC | Past | Accepting new patients |
Locations
40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
40 Saw Mill River Rd
Ste FB1
Hawthorne, NY 10532
Phone (914) 358-0188
400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- meredith.stevens.p1@direct.cwpw.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Pediatrics Physician
- Pomona, NY
- NPI 1033291067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1265258198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 MYANO LN APT 2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069024535",
"telephone_number": "914-874-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SAW MILL RIVER RD STE FB1",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321528",
"telephone_number": "914-358-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MEREDITH",
"middle_name": "CLAIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F383720-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.