Stevie Star Hennard

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

900 Center Ave
Bay City, MI 48708-6189

Phone

(989) 891-9800

NPI assigned

Nov 4, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Enrichment Center, LLC

  • Multi-Specialty Clinic/Center
  • Akron, MI
  • NPI 1477161644
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1659036614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 BREAKER ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086189",
            "telephone_number": "989-891-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3258 Ringle Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "MI",
            "postal_code": "487019519",
            "country_code": "US",
            "telephone_number": "989-737-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNARD",
        "first_name": "STEVIE",
        "middle_name": "STAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piotr Robert Hemlich
• Benjamin Hemstreet
• Eric Edward Henderson
• Susan Colleen Hendrickson, MD
• Hala Alexis Henman
• Amanda Jean Herber, LLMSW
• Lauren Herek
• Megan Ann Heritier
• Breanna Herman
• Shannon Hernandez

• Behavior Technician in Bay City, MI
• Providers in Bay City, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.