Active NPI
Nicole Stevens, RN, PHN
- Registered Nurse
- Saint Paul, MN
National Provider Identifier
1609316660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 196282-0
- Practice address
- 555 Cedar St
Saint Paul, MN 55101-2209 - Phone
- (651) 266-1343
- NPI assigned
- Feb 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 196282-0 | MN | Primary |
Addresses
Primary practice location
555 Cedar St
Saint Paul, MN 55101-2209
Mailing address
555 Cedar St
Saint Paul, MN 55101-2209
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 196282-0 | MN | MD | Registered Nurse |
Interoperability endpoints
- nicole.stevens.p2@direct.ramseysocialservices.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1609316660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 CEDAR ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CEDAR ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012209",
"telephone_number": "651-266-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "NICOLE",
"credential": "RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 196282-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.