Active NPI
John P Stevens, CRNA
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
National Provider Identifier
1366484289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 119023
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374-8710 - Phone
- (910) 715-1233
- Fax
- (910) 715-1943
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 119023 | NC | Primary |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
PO Box 3000
Pinehurst, NC 28374-3000
Phone (910) 715-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8050430 | Medicaid | NC |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119023 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366484289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3000",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283743000",
"telephone_number": "910-715-1233",
"fax_number": "910-715-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748710",
"telephone_number": "910-715-1233",
"fax_number": "910-715-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JOHN",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "119023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.