Carissa Bonany Stewart, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.152364.MEDS-IV Issued in OH

Practice address

4745 Marigold Rd
Mentor, OH 44060-1135

Phone

(440) 227-2295

NPI assigned

Jun 18, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831629245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33001 VINE ST APT E9",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953359",
            "telephone_number": "440-223-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 MARIGOLD RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601135",
            "telephone_number": "440-227-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6253 Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "OH",
            "postal_code": "440572160",
            "country_code": "US",
            "telephone_number": "440-477-6774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33001 Vine St Apt E9",
            "address_purpose": "LOCATION",
            "city": "Willowick",
            "state": "OH",
            "postal_code": "440953359",
            "country_code": "US",
            "telephone_number": "440-223-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CARISSA",
        "middle_name": "BONANY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.152364.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Stephens
• Elizabeth Diane Stevens, OTR/L
• Molly Ann Stevens, DPT
• Kelly Stevenson, LISW-S
• Emaline Steward
• Carrie Stewart, MSSA, LISW
• Lahemma Stewart
• Melinda Stewart
• Sherry Lynn Stewart, APRN
• Angel Stidham

• Licensed Practical Nurse in Mentor, OH
• Providers in Mentor, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.