Active NPI
Deniece Stivers, OTR/L
- Specialist
- Richmond, KY
National Provider Identifier
1295935633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R1461
- Practice address
- 157 Cardinal Dr
Richmond, KY 40475-8633 - Phone
- (859) 576-0147
- Fax
- (859) 625-9917
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | R1461 | KY | Primary |
Addresses
Primary practice location
157 Cardinal Dr
Richmond, KY 40475-8633
Mailing address
157 Cardinal Dr
Richmond, KY 40475-8633
Phone (859) 576-0147
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1461 | KY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1295935633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CARDINAL DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758633",
"telephone_number": "859-576-0147",
"fax_number": "859-625-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CARDINAL DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758633",
"telephone_number": "859-576-0147",
"fax_number": "859-625-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "DENIECE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "R1461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.