Katie Anne Stevenson, D.O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2276 Issued in FL

Practice address

512 Canal St
New Smyrna Beach, FL 32168-7012

Phone

(386) 663-3003

Fax

(386) 663-3007

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Medical Holistic Center, LLC

  • General Practice Physician
  • New Smyrna Beach, FL
  • NPI 1770747990
  NPD (past) Authorized official
• Volusia Neuropsychology & Behavioral Health Inc

  • Clinical Neuropsychologist
  • New Smyrna Beach, FL
  • NPI 1033313903
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1386823250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687012",
            "telephone_number": "386-663-3003",
            "fax_number": "386-663-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687012",
            "telephone_number": "386-663-3003",
            "fax_number": "386-663-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Stamm Jr., PHARMD
• Charles Maurice Steinmann
• Stellar Foot and Ankle Specialists LLC
• Erin Stephens, LGPC
• Phillip Lee Stephens, O.D.
• Jacob Taylor Stiteler, D.C.
• Deann Lee Stokes-Hallett, L.M.T.
• Lindsey Catherine Stokes, PTA
• Megan A Stone
• Meghan Claire Stoops, RDN

• Acupuncturist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.