Active NPI
Kelly Irene Stephens, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
National Provider Identifier
1598923153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 262623
- Practice address
- 221 Longwood Ave
Dept of Endocrinology
Boston, MA 02115 - Phone
- (617) 732-5666
- NPI assigned
- May 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 003365 | GA | |
| Internal Medicine Physician | 207R00000X | 067094 | GA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 262623 | MA | Primary |
Addresses
Primary practice location
221 Longwood Ave
Dept of Endocrinology
Boston, MA 02115
Mailing address
221 Longwood Ave
Dept of Endocrinology
Boston, MA 02115
Phone (617) 732-5666
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067094 | GA | MD | Internal Medicine Physician |
| 003365 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1598923153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVE",
"address_2": "DEPT OF ENDOCRINOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 LONGWOOD AVE",
"address_2": "DEPT OF ENDOCRINOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KELLY",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-29",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "003365",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "067094",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "262623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.