Active NPI
Gwenlou Arlise Stevens, HEALTH TECHNICIAN
- Health Information Technician
- Largo, MD
National Provider Identifier
1336594894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Technician
- Practice address
- 1300 Mercantile LN Ste 100L
Largo, MD 20774-5390 - Phone
- (301) 404-3532
- Fax
- (301) 404-3532
- NPI assigned
- May 3, 2016
- 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 |
|---|---|---|---|---|
| Health Information Technician | 247000000X | Primary |
Addresses
Primary practice location
1300 Mercantile LN Ste 100L
Largo, MD 20774-5390
Mailing address
1300 Mercantile LN Ste 100L
Largo, MD 20774-5390
Phone (301) 404-3532
Other practice location 1
1801 McCormick Dr
Suite 350
Largo, MD 20774-5326
Phone (301) 883-3661
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLC Distributors, LLC | 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.
-
- Durable Medical Equipment & Medical Supplies
- Largo, MD
- NPI 1952516585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1336594894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 100L",
"city": "LARGO",
"state": "MD",
"postal_code": "207745390",
"telephone_number": "301-404-3532",
"fax_number": "301-043-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 100L",
"city": "LARGO",
"state": "MD",
"postal_code": "207745390",
"telephone_number": "301-404-3532",
"fax_number": "301-404-3532"
}
],
"practiceLocations": [
{
"address_1": "1801 McCormick Dr",
"address_2": "Suite 350",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "MD",
"postal_code": "207745326",
"country_code": "US",
"telephone_number": "301-883-3661",
"fax_number": "301-772-8970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "GWENLOU",
"middle_name": "ARLISE",
"credential": "HEALTH TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-03",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.