Individual provider Active NPI

Angelina Valerie Stevens, D.C

  • Nutrition Chiropractor
  • Durham, NC
National Provider Identifier
1447272620
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3162 Issued in NC
Practice address
1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586
Phone
(919) 140-1506
Fax
(919) 401-8253
NPI assigned
Jul 24, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 3162 NC Primary

Addresses

Primary practice location

1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586

Mailing address

1802 Martin Luther King Pkwy
Suite 107
Durham, NC 27707-3586
Phone (919) 140-1506

Other identifiers 1

IdentifierTypeStateIssuer
0194LOtherNCBC/BS

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

State licenses

LicenseStateTypeSpecialty
3162NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1447272620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-140-1506",
            "fax_number": "919-401-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY",
            "address_2": "SUITE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-140-1506",
            "fax_number": "919-401-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ANGELINA",
        "middle_name": "VALERIE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NC",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0194L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.