Active NPI
Kelly Lynn Stevens, R.PH.
- Psychiatric Pharmacist
- Independence, IA
National Provider Identifier
1649641978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 19407
- Practice address
- 2277 Iowa Ave
Independence, IA 50644-9106 - Phone
- (319) 334-5208
- Fax
- (319) 334-5457
- NPI assigned
- Oct 13, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 19407 | IA | Primary |
Addresses
Primary practice location
2277 Iowa Ave
Independence, IA 50644-9106
Mailing address
2277 Iowa Ave
Independence, IA 50644-9106
Phone (319) 334-5208
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 Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19407 | IA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1649641978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2277 IOWA AVE",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506449106",
"telephone_number": "319-334-5208",
"fax_number": "319-334-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 IOWA AVE",
"city": "INDEPENDENCE",
"state": "IA",
"postal_code": "506449106",
"telephone_number": "319-334-5208",
"fax_number": "319-334-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "IA",
"license": "19407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.