Amy G Stevens, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

39155-DI-0 Issued in NV

Practice address

4100 W Flamingo Rd
Suite 2100
Las Vegas, NV 89103-3924

Phone

(702) 822-5000

Fax

(702) 822-5001

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1578008165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD",
            "address_2": "SUITE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033924",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD",
            "address_2": "SUITE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033924",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AMY",
        "middle_name": "G",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "39155-DI-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jimenez M.D. Inc.
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• Steven V. Kozmary, MD, a Professional Corporation (Kozmary Center for Pain Management)
• Mark Christopher Stevens-Andro
• Carolyn Lisa Claire Stevens-Wood
• Andrea L Stevens
• Candace Monique Stevens
• Cassandra Renae Stevens
• Charlie Stevens
• Dale Stevens

• Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.