Aimee Danielle Stevenson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-4430 Issued in ID

Practice address

1718 S Spring Valley LN
Meridian, ID 83642-9258

Phone

(805) 266-0976

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 3, 2024.

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1801674288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 W CURLEW AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836518392",
            "telephone_number": "805-266-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S SPRING VALLEY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429258",
            "telephone_number": "805-266-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "AIMEE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Provider Group
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• Brett R Stevens
• Julie A Stevens, NP
• Tessie Mari Stewart, PA
• Zachery Stewart, PA
• Rachel Marie Stice
• Charles Stiff, CRNA
• Nicole Still, LCPC

• All providers in Meridian, ID
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.