Individual provider Active NPI

Catherine Stevens, R.N.

  • School Registered Nurse
  • Aiken, SC
National Provider Identifier
1710228507
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
210605 Issued in SC
Practice address
232 E Pine Log Rd
Aiken, SC 29803-6158
Phone
(803) 641-2600
Fax
(803) 641-2607
NPI assigned
Mar 5, 2013
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 210605 SC Primary

Addresses

Primary practice location

232 E Pine Log Rd
Aiken, SC 29803-6158

Mailing address

232 E Pine Log Rd
Aiken, SC 29803-6158
Phone (803) 641-2600

Other names 1

  • Catherine Stake Other name

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 Nurse

State licenses

LicenseStateTypeSpecialty
210605SCMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1710228507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036158",
            "telephone_number": "803-641-2600",
            "fax_number": "803-641-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036158",
            "telephone_number": "803-641-2600",
            "fax_number": "803-641-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CATHERINE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "210605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "STAKE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.