Douglas Frank Stevens, M.S.,R.N.,C.W.O.C.N.

Primary specialty

Enterostomal Therapy Registered NurseTaxonomy code 163WE0900X

License

R099903-0 Issued in MN

Practice address

1 Veterans Dr
Minneapolis, MN 55417-2309

Phone

(612) 467-3565

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447344650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 LAUREL AVE",
            "address_2": "APT. #1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551047488",
            "telephone_number": "651-646-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172309",
            "telephone_number": "612-467-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DOUGLAS",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "M.S.,R.N.,C.W.O.C.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0900X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Enterostomal Therapy",
            "state": "MN",
            "license": "R099903-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Katherine Stessman, RD
• Eric J Steuck, APRN,CRNA
• Valerie Rene Steussy, APRN, CNP
• Brenda Elaine Steve, LP
• Bridget Kelly Stevens, M.ED., LPCC, NCC
• Elizabeth Jean Stevens, RD, LD
• Tara Marie Stevens
• Allyson Stevenson-King, DO
• Brittany L Stevenson, PHD
• Sandra J Stevenson, OTR

• Registered Nurse in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.