Individual provider Active NPI

Kevin Ulysse Stephens Sr., M.D.

  • Obstetrics Physician
  • New Orleans, LA
National Provider Identifier
1811236136
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
017769 Issued in LA
Practice address
1 Rosedown CT
New Orleans, LA 70131-3313
Phone
(504) 228-4991
Fax
(504) 433-2091
NPI assigned
Feb 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 017769 LA Primary

Addresses

Primary practice location

1 Rosedown CT
New Orleans, LA 70131-3313

Mailing address

1 Rosedown CT
New Orleans, LA 70131-3313
Phone (504) 228-4991

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17769LAMDSocial Worker
017769LAMDObstetrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1811236136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSEDOWN CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313313",
            "telephone_number": "504-228-4991",
            "fax_number": "504-433-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSEDOWN CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313313",
            "telephone_number": "504-228-4991",
            "fax_number": "504-433-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KEVIN",
        "middle_name": "ULYSSE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "017769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.