Amber Marie Mink Stevens, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10623 Issued in NC

Practice address

304 Judd Place Dr
Fuquay Varina, NC 27526-2386

Phone

(919) 557-8305

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shining Stars Therapy, PA

  • Pediatric Occupational Therapist
  • Fuquay Varina, NC
  • NPI 1124258785
  NPD (past)
• Shining Stars Therapy, PA

  • Developmental Therapist
  • Fuquay Varina, NC
  • NPI 1245534338
  NPD (past)
• TLC Kid's Therapy

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1114164431
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1528427168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 ISOM RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JUDD PLACE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262386",
            "telephone_number": "919-557-8305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Isom Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782164035",
            "country_code": "US",
            "telephone_number": "210-490-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMBER",
        "middle_name": "MARIE MINK",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "117338",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Steger, PA-C
• Stella & Associates DDS, Ms PA III (Tar Heel Periodontics and Implant Dentistry)
• Stephen E Woods
• Thomas Calvin Stephens, DC
• Elsbeth S Steuck
• Gabriel Stevens
• Amanda R Steventon, MD
• Edward Allen Stewart I, EDWARD STEWART DDS
• Clara M Stiers, LPC
• Carrie Stone, MA

• Occupational Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.