Individual provider Active NPI

Sonja Raechel Stevenson, M.D.

  • Pediatrics Physician
  • Gilbert, AZ
National Provider Identifier
1689633323
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26938 Issued in AZ
Practice address
861 N Higley Rd
Suite B101
Gilbert, AZ 85234-9602
Phone
(480) 664-6400
Fax
(480) 500-5779
NPI assigned
Mar 21, 2006
Last updated
May 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26938 AZ Primary

Addresses

Primary practice location

861 N Higley Rd
Suite B101
Gilbert, AZ 85234-9602

Mailing address

861 N Higley Rd
Suite B101
Gilbert, AZ 85234-9602
Phone (480) 664-6400

Other identifiers 1

IdentifierTypeStateIssuer
522830MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803002178 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4981998622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Acts of Kidness Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sonja.stevenson.1@13750.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13750/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1689633323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N HIGLEY RD",
            "address_2": "SUITE B101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349602",
            "telephone_number": "480-664-6400",
            "fax_number": "480-500-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 N HIGLEY RD",
            "address_2": "SUITE B101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349602",
            "telephone_number": "480-664-6400",
            "fax_number": "480-500-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "SONJA",
        "middle_name": "RAECHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "26938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522830",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.