Kelli Lynn Stevens

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1289 Robert C Byrd Drive
Beckley, WV 25802

Phone

(304) 253-8979

NPI assigned

Dec 28, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1841887643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258020687",
            "telephone_number": "304-253-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ROBERT C BYRD DRIVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25802",
            "telephone_number": "304-253-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Jean Stegel
• Stephanie Nichols DMD LLC
• Stephen H. Blaydes
• Stephen W Finch DDS PC
• Steve Childress II, DDS
• Meredith Stevens, RPH
• Charles Stevenson, HCP
• Mickey Stevenson, HCP
• Ashley Renee Stewart
• Bonnie Stewart

• Case Manager/Care Coordinator in Beckley, WV
• Providers in Beckley, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.