Active NPI
Dawn Lynn Stewart, M.D.
- Psychiatry Physician
- Evanston, WY
National Provider Identifier
1306936117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- TL734
- Practice address
- 831 State Highway 150 S
Evanston, WY 82930-5340 - Phone
- (307) 789-3464
- Fax
- (307) 789-4599
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TL734 | WY | Primary |
| Psychiatry Physician | 2084P0800X | 5216218-1205 | UT |
Addresses
Primary practice location
831 State Highway 150 S
Evanston, WY 82930-5340
Mailing address
806 Ben Lomond Ave
Ogden, UT 84403-4551
Phone (307) 789-3464
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5216218-1205 | UT | MD | Psychiatry Physician |
| TL734 | WY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Wyoming | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306936117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 BEN LOMOND AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034551",
"telephone_number": "307-789-3464",
"fax_number": "307-789-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 STATE HIGHWAY 150 S",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829305340",
"telephone_number": "307-789-3464",
"fax_number": "307-789-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DAWN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WY",
"license": "TL734",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "5216218-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.