Kathy Davis Stephens, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

040302 Issued in NC

Practice address

3333 Silas Creek Pkwy
Winston-Salem, NC 27103-3013

Phone

(336) 718-5000

NPI assigned

Jun 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Carolina Anesthesiology, PA

  • Anesthesiology Physician
  • High Point, NC
  • NPI 1629032347
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1316973159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 BARTRAM RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065105",
            "telephone_number": "336-830-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KATHY",
        "middle_name": "DAVIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "040302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050446A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudolph Stempfer, LCSW, LPC
• Morgan Stenger, PA
• Step Up Pediatric and Adolescent Wellness Center
• Stephen Foss LLC
• Stephen J. Kaluzne, O.D.,PA
• Tina Stephens, SLPA
• Richard C. Stephenson, M.D.
• Steve Felts, DDS
• Ebone' Stevens, PHARMD, MBA
• Elizabeth Anne Stevens, LPC

• Certified Registered Nurse Anesthetist in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.