Alicia Stephens, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

13711 12St St
BLDG 13815
Joint Base Lewis McChord, WA 98498

Phone

(253) 477-5558

NPI assigned

Mar 9, 2022

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

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1598412462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 SW MILLER RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 12ST ST",
            "address_2": "BLDG 13815",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "98498",
            "telephone_number": "253-477-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 SW Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983679336",
            "country_code": "US",
            "telephone_number": "253-514-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ALICIA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Stahl, OTR/L
• Brittany Elaine Stanberry, AT
• Brenna Steed, RN
• Sarah Steger, PHARM.D.
• Matthew Jamieson Stein, MD
• James David Stephenson
• Caitlin Clare Stevens, M.D.
• Jourdin Stewart
• Steven Allen Stineman, PHYSICIAN ASSISTANT
• Kelly Ann Strandlund, LCSW

• Athletic Trainer in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.