Pebbles Lee Stevens, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN02732 Issued in RI

Practice address

42 J Dr
2E
Westport, MA 02790-3900

Phone

(508) 837-4332

NPI assigned

Sep 21, 2012

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Pebbles Lee Tomkiewicz Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Premier Healthcare Services LLCGroup PAC ID 9931442381, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Premier Healthcare Services, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dartmouth, MA
  • NPI 1174089163
  Medicare reassignment Care Compare group NPD
• Geriatric Internal Medicine Specialists, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • North Dartmouth, MA
  • NPI 1437454287
  Medicare reassignment

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1407107022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 REED RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471565",
            "telephone_number": "774-201-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 J DR",
            "address_2": "2E",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027903900",
            "telephone_number": "508-837-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "PEBBLES",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN265391",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN02732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEBBLES",
            "last_name": "TOMKIEWICZ",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Sarah Smith, MSW, LICSW
• Shandel Corin Soderstrom, PHARMD
• Southcoast Physicians Group, Inc.
• Diane Souza, LPN
• Conor Chiropractic Sowersby, DC
• Shaundry Swainamer
• Vanessa Lynne Thompson
• Town of Westport
• Town of Westport
• Courtney L Turner, NP

• Adult Health Nurse Practitioner in Westport, MA
• Providers in Westport, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.