Stephanie Stevens, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

RI00010 Issued in RI

Practice address

70 Kenyon Ave
Suite 326
Wakefield, RI 02879-4239

Phone

(401) 789-8543

Fax

(401) 782-8766

NPI assigned

Aug 31, 2006

Last updated

May 22, 2008By 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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• John Jefferys Bandola, M.D.

  • Internal Medicine Physician
  • Wakefield, RI
  • NPI 1629265236
  NPD (past)
• Seacoast Eye Associates Inc

  • Ophthalmology Physician
  • Wakefield, RI
  • NPI 1194868562
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1679684062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 326",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-8543",
            "fax_number": "401-782-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "SUITE 326",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-789-8543",
            "fax_number": "401-782-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "STEPHANIE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "RI00010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUE CROSS/ BLUE SHIELD",
            "identifier": "0000000094",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUE CHIP",
            "identifier": "000196",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ID9000094",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spurwink Ri - Peaked Rock Road
• Kristen St Jean
• Susan F Stanhope, LICSW
• Ian Stelzner, DMD
• Merrilyn Jane Stevens, MD
• Samuel R Stockwell, PH.D.
• Shelagh M Stone, M.A., LMHC
• Peter Storti
• Christine Stout, APRN
• Gloria Y. Sun, M.D.

• Medical Physician Assistant in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.