Kathleen A Stevens, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

53703 Issued in NM

Practice address

2800 Doral CT
Las Cruces, NM 88011-8616

Phone

(575) 521-0055

Fax

(575) 521-0077

NPI assigned

Aug 21, 2018

Last updated

Aug 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlos a Cadena DPM PCGroup PAC ID 1456253913, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos a Cadena DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Las Cruces, NM
  • NPI 1679617229
  Medicare reassignment Care Compare group NPD
• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1275013922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 DORAL CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118616",
            "telephone_number": "575-521-0055",
            "fax_number": "575-521-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "53703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Carlson LLC
• Stephen Ray Jensen DDS, LLC
• Justin C. Stephenson
• Madeleine Sterling
• Joanna Stevens
• Paul Stevenson
• Jeffrey Tyler Stewart, PHARMD
• Matthew Wood Stewart, DMD
• Raymond Pope Stewart Jr.
• Cheryl L. Stiles, RDH, CPDH

• Primary Care Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.