Active NPI
Eileen B Stevens
- Registered Nurse First Assistant
- Alpharetta, GA
National Provider Identifier
1700290244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 0001120258
- Practice address
- 2655 Northwinds Pkwy
Alpharetta, GA 30009-2280 - Phone
- (678) 690-8334
- NPI assigned
- Jun 12, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 0001120258 | VA | Primary |
Addresses
Primary practice location
2655 Northwinds Pkwy
Alpharetta, GA 30009-2280
Mailing address
700 Gold Cup Dr
Warrenton, VA 20186-2373
Phone (540) 216-3477
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 |
|---|---|---|---|
| 0001120258 | VA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1700290244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GOLD CUP DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862373",
"telephone_number": "540-216-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 NORTHWINDS PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092280",
"telephone_number": "678-690-8334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "EILEEN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "VA",
"license": "0001120258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.