Active NPI
Stevie Stephens, CP
- Prosthetist
- Tacoma, WA
National Provider Identifier
1497129092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS60607244
- Practice address
- 723 MLK Jr Way
Tacoma, WA 98405 - Phone
- (253) 383-4447
- Fax
- (253) 383-7574
- NPI assigned
- Nov 19, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PS60607244 | WA | Primary |
Addresses
Primary practice location
723 MLK Jr Way
Tacoma, WA 98405
Mailing address
723 MLK Jr Way
Tacoma, WA 98405
Phone (253) 383-4447
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 |
|---|---|---|---|
| PS60607244 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanger Prosthetics & Orthotics West, Inc | Prosthetist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Tacoma, WA
- NPI 1649381534
Prosthetist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1497129092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 MLK JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-383-4447",
"fax_number": "253-383-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 MLK JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-383-4447",
"fax_number": "253-383-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "STEVIE",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS60607244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.