Active NPI
Denise Stevens
- Health Educator
- Fort Edward, NY
National Provider Identifier
1467716134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 900713991
- Practice address
- 1026 County Route 46
Fort Edward, NY 12828-4314 - Phone
- (518) 638-8394
- NPI assigned
- Jun 27, 2012
- Last updated
- Jun 27, 2012
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 900713991 | NY | Primary |
Addresses
Primary practice location
1026 County Route 46
Fort Edward, NY 12828-4314
Mailing address
1026 County Route 46
Fort Edward, NY 12828-4314
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 |
|---|---|---|---|
| 900713991 | NY | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1467716134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 COUNTY ROUTE 46",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128284314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 COUNTY ROUTE 46",
"city": "FORT EDWARD",
"state": "NY",
"postal_code": "128284314",
"telephone_number": "518-638-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "900713991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Edward, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.