Active NPI
Krista D Stevens, RN
- Registered Nurse
- Hannibal, MO
National Provider Identifier
1730879883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2003018594
- Practice address
- 3531 Stardust Dr
Hannibal, MO 63401-6224 - Phone
- (573) 603-1460
- NPI assigned
- May 11, 2023
- 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 | 163W00000X | 2003018594 | MO | Primary |
Addresses
Primary practice location
3531 Stardust Dr
Hannibal, MO 63401-6224
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Phone (636) 224-1210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003018594 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1730879883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OLD SOUTH RIVER RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034120",
"telephone_number": "636-224-1210",
"fax_number": "636-246-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 STARDUST DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016224",
"telephone_number": "573-603-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "KRISTA",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2003018594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.