Active NPI
Erica N Stephens, LMP
- Specialist
- Bellevue, WA
National Provider Identifier
1629312681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60229226
- Practice address
- 875 140TH Ave NE
Bellevue, WA 98005 - Phone
- (425) 462-6604
- NPI assigned
- Nov 15, 2012
- Last updated
- Aug 3, 2018
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60229226 | WA | Primary |
Addresses
Primary practice location
875 140TH Ave NE
Bellevue, WA 98005
Mailing address
PO Box 15231
Seattle, WA 98115-0231
Phone (425) 443-9624
Other practice location 1
875 140th Ave NE
Bellevue, WA 98005-3400
Phone (425) 462-6604
Other practice location 2
634 7th Ave
Kirkland, WA 98033-5665
Phone (425) 443-9624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA 60229226 | Other | WA | LMP |
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 |
|---|---|---|---|
| MA 60229226 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1629312681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15231",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981150231",
"telephone_number": "425-443-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 140TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98005",
"telephone_number": "425-462-6604"
}
],
"practiceLocations": [
{
"address_1": "875 140th Ave NE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980053400",
"country_code": "US",
"telephone_number": "425-462-6604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "634 7th Ave",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980335665",
"country_code": "US",
"telephone_number": "425-443-9624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "ERICA",
"middle_name": "N",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60229226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMP",
"identifier": "MA 60229226",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
- Donald R Stepan, MD
- Stephanie Yeung DDS PLLC
- Stephen Lee, PLLC (Connected Path Therapy)
- Stephen P Markus MD PC
- David Roy Stephens, M.D.
- Jessica Danielle Stephens, BA
- Kathy A Stepien, MD
- Stepping Stone Pediatrics
- Stepping Stones Occupational Therapy (Jessica McMurdie)
- Stern Center for Aesthetic Surgery Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.