Stewart Psychiatric Associates

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

21943 Issued in TN

Legal business name

STEWART PSYCHIATRIC ASSOCIATES

Practice address

8316 Macon Ter Ste 103
Cordova, TN 38018-8505

Phone

(901) 791-2892

Fax

(901) 791-4872

NPI assigned

Apr 19, 2018

Last updated

Mar 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin StewartNPI 1982154936

Title

Owner

Phone

(901) 570-1888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Kathleen Stewart, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cordova, TN
  • NPI 1982154936
  Medicare reassignment NPD Authorized official
• Gary Lloyd Bevill, MD

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1538154570
  NPD (past)
• Gerry Dean Ezell, MD

  • Internal Medicine Physician
  • North Little Rock, AR
  • NPI 1497769772
  NPD (past)
• Erin Braden Goss, M. D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1861526121
  NPD (past)
• Deanna Lynn Hopson, M.D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1548329857
  NPD (past)
• Robert Clyde Patton, M.D.

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1437109097
  NPD (past)
• Jeremy Adam Porter, M.D.

  • Pediatrics Physician
  • Hot Springs, AR
  • NPI 1831353937
  NPD (past)
• Sherilyn M Webb, MD

  • Family Medicine Physician
  • Mena, AR
  • NPI 1427062058
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1528555182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-791-2892",
            "fax_number": "901-791-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 103",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-791-2892",
            "fax_number": "901-791-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-570-1888"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "21943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE  21943",
            "identifier": "21943",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Start Anew Counseling, LLC
• Stat Diagnostics, Inc. (NewGen Advanced Orthotics lab)
• Steadfast ABA LLC (Steadfast ABA)
• Lee S Stein, MD
• Donchita V Stennis
• Alec Stewart, PHARMD
• Bobby Jean Stewart, MSN, FNP-BC
• Jason Casey Stewart, FNP
• Joshua Demarco Stewart
• Kristin Kathleen Stewart, APRN, PMHNP-BC

• Psychiatric/Mental Health Registered Nurse in Cordova, TN
• Providers in Cordova, TN by specialty
• Psychiatric/Mental Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.