Ethel Harriet Stevens

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Practice address

12365 152ND St N
Jupiter, FL 33478-3558

Phone

(561) 222-6503

NPI assigned

Mar 9, 2009

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

Other identifiers 1

Other names 1

• Ethel Harriet Cline Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1437390291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12365 152ND ST N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783558",
            "telephone_number": "561-222-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12365 152ND ST N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334783558",
            "telephone_number": "561-222-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ETHEL",
        "middle_name": "HARRIET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23928849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "CLINE",
            "middle_name": "HARRIET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Burton Stephens, P.T.
• Joanne Mary Stepp, ARNP
• Steps Home Care LLC
• Holli Stern, PHARM.D.
• Nicole Alexandra Stern, LCSW
• Rondell Stevens
• Meaghan Stewart, MS
• Ricky L Stewart, P.A.
• Simone Odetta Stewart, AANP
• Kristen Elizabeth Stilley

• Lodging Provider in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Lodging Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.