Kristine Domino Stevens, A.T.C., L.A.T.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1405 Issued in TX

Practice address

1101 Ohio Dr
Suite 110
Plano, TX 75093-5330

Phone

(972) 985-2622

Fax

(972) 985-2630

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Outpatient Sports and Spine Rehabilitation. LLC

  dba The Institute for Sports and Spine Rehabilitation

  • Physical Therapy Clinic/Center
  • Plano, TX
  • NPI 1386642650
  NPD Authorized official
• Metdalspi, LLC

  dba Methodist Hospital for Surgery

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457360125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 HIDDEN KNOLL TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344667",
            "telephone_number": "972-624-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935330",
            "telephone_number": "972-985-2622",
            "fax_number": "972-985-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KRISTINE",
        "middle_name": "DOMINO",
        "name_prefix": "Mrs.",
        "credential": "A.T.C., L.A.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven P Thompson DDS PA (Imagecare Dental Group)
• Steven P. Peskind, M.D. & Assoc. PA
• Steven R. Macdonald, M.D., P.a.
• Steven Sliwinski, PHD, P.C.
• Kristi Kay Stevens, LPC-A
• Madeleine Katherine Stevens, MMT, MT-BC
• Jennifer L Stevenson, LPC
• Shelley Stevenson, MA, LPC, NCC
• Stewart Center for Plastic Surgery and Hand PLLC
• Stewart Communications, LLC

• Athletic Trainer in Plano, TX
• Providers in Plano, TX by specialty
• Athletic Trainer in Texas

• 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.