Andie Marie Stevens

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

13757243-4201 Issued in UT

Practice address

3773 W 12600 S
Riverton, UT 84065-5577

Phone

(801) 285-1700

NPI assigned

Feb 22, 2024

Last updated

Feb 22, 2024By 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

Other names 1

• Andie Marie Giles Former name

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1619733250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 E 3300 S APT 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063385",
            "telephone_number": "971-708-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840655577",
            "telephone_number": "801-285-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ANDIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "UT",
            "license": "13757243-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDIE",
            "last_name": "GILES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lara Staats
• John D Stark, D.D.S.
• Cadence Marie Stauffer
• Ashley Eryn Steineckert
• Step Mountain Medical
• Jessica Celeste Stevens, MSN, APRN, FNP-C
• Monica Stevens
• Stevenson Pediatric Dentistry P.C.
• Nathan Daniel Stevenson, D.D.S.
• Pieter Arnoldus Steyn, RPH

• Pediatric Occupational Therapist in Riverton, UT
• Providers in Riverton, UT by specialty
• Pediatric Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.