Jennifer L Stevens, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P009703 Issued in ME

Practice address

59 Bangor St
Houlton, ME 04730-1740

Phone

(207) 528-2285

Fax

(207) 528-2595

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katahdin Valley Health Center

  • Dental Clinic/Center
  • Bangor, ME
  • NPI 1356537096
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1790729184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047650500",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BANGOR ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301740",
            "telephone_number": "207-528-2285",
            "fax_number": "207-528-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ME",
            "license": "P009703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Aroostook EMS Authority
• Jan M Stairs
• Lora L Stanchfield, PH D
• Peter Adam Stanley, DDS
• Stephen Izzo
• Martha D Stewart, DO
• Shannon Rene Stewart, CNP
• Emily E. Stiles, MHRT-CSP/MHRT-C
• Damon L Stone, RN
• Jayde N Stover, CNA

• Licensed Practical Nurse in Houlton, ME
• Providers in Houlton, ME by specialty
• Licensed Practical Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.