Active NPI
Stephanie Stewart
- Behavior Technician
- Chesapeake, VA
National Provider Identifier
1457936551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-99813
- Practice address
- 640 Independence Pkwy Ste 400
Chesapeake, VA 23320-5205 - Phone
- (757) 267-9634
- NPI assigned
- Mar 10, 2021
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-99813 | HI | Primary |
Addresses
Primary practice location
640 Independence Pkwy Ste 400
Chesapeake, VA 23320-5205
Mailing address
2152 Eagle Rock Rd
Virginia Beach, VA 23456-5809
Phone (808) 824-0595
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-99813 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1457936551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 EAGLE ROCK RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234565809",
"telephone_number": "808-824-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 INDEPENDENCE PKWY STE 400",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233205205",
"telephone_number": "757-267-9634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-19-99813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.