Lyn M Stevens

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

685257298 MCD Issued in FL

Practice address

395 SE Piute Way
Lake City, FL 32025-3935

Phone

(386) 984-6759

NPI assigned

Jan 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295136000000",
    "number": "1760787105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SE PIUTE WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253935",
            "telephone_number": "386-984-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SE PIUTE WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253935",
            "telephone_number": "386-984-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "685257298 MCD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685257298 MCD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Stephens, APRN
• Shawn A Stephens, DC
• Sterling Emergency Services of Florida, PA
• Sophia Lauada Sterling
• Maddison Marcia Stetson, LMT
• Corniqueca Stewart-Simmons, ARNP
• Rosa Stewart
• Still Waters of Lake City, Inc.
• Johanna Lynn Stith, APRN
• Madden Elizabeth Stockstill, PHARMD

• Community Health Worker in Lake City, FL
• Providers in Lake City, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; 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.