Active NPI
Laura Stivers, FNP-C
- Family Nurse Practitioner
- Clarksville, IN
National Provider Identifier
1326459298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004891
- Practice address
- 905 Eastern Blvd
Suite B
Clarksville, IN 47129-1961 - Phone
- (812) 284-2273
- Fax
- (812) 284-2279
- NPI assigned
- May 14, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004891 | IN | Primary |
Addresses
Primary practice location
905 Eastern Blvd
Suite B
Clarksville, IN 47129-1961
Mailing address
905 Eastern Blvd
Suite B
Clarksville, IN 47129-1961
Phone (812) 284-2273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004891 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Health Network LLC | Family | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1326459298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 EASTERN BLVD",
"address_2": "SUITE B",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471291961",
"telephone_number": "812-284-2273",
"fax_number": "812-284-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 EASTERN BLVD",
"address_2": "SUITE B",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471291961",
"telephone_number": "812-284-2273",
"fax_number": "812-284-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "LAURA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.