Active NPI
Maureen Anne Stevens, COTA
- Skilled Nursing Facility
- Stamford, CT
National Provider Identifier
1588873541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 000884
- Practice address
- 710 Long Ridge Rd
Stamford, CT 06902-1226 - Phone
- (203) 323-4026
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 000884 | CT | Primary |
Addresses
Primary practice location
710 Long Ridge Rd
Stamford, CT 06902-1226
Mailing address
11 Chipmunk Ter
Bethel, CT 06801-1429
Phone (860) 573-1742
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 |
|---|---|---|---|
| 000884 | CT | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1588873541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CHIPMUNK TER",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011429",
"telephone_number": "860-573-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LONG RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021226",
"telephone_number": "203-323-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CT",
"license": "000884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
- Richard Ira Sternberg, PH.D., DABFE, DACFE
- Mark D Steuerwald, M.D.
- Steven B. Shindler D.P.M.,P.C. (Health Sciences Podiatry Center)
- Courtney Stevens
- Hope Alexandra Stevens
- Rush Everett Stevens, PHARM.D.
- Emily Stewart, RD, LDN
- Timothy Compton Stewart, MPAS, PA-C
- Roberta Stiel, PSYD
- Graziella Eliza Stocco, NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.