Individual provider Active NPI

Amy Jane Stephenson, MS, ATC, CSCS

  • Athletic Trainer
  • Beaufort, SC
National Provider Identifier
1811957301
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
709 Issued in SC
Practice address
1076 Ribaut Rd
Ste. 102
Beaufort, SC 29902-5476
Phone
(843) 521-1970
Fax
(843) 521-0908
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 709 SC Primary

Addresses

Primary practice location

1076 Ribaut Rd
Ste. 102
Beaufort, SC 29902-5476

Mailing address

2807 Waddell Rd
Apt. B14
Beaufort, SC 29902-6465
Phone (843) 521-1970

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811957301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 WADDELL RD",
            "address_2": "APT. B14",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026465",
            "telephone_number": "843-521-1970",
            "fax_number": "843-521-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 RIBAUT RD",
            "address_2": "STE. 102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025476",
            "telephone_number": "843-521-1970",
            "fax_number": "843-521-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.