Jacob Reuben Stepherson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

535 Tom Sawyer LN
Pensacola, FL 32534-1029

Phone

(850) 316-5041

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1851089403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 TOM SAWYER LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341029",
            "telephone_number": "850-316-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 TOM SAWYER LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341029",
            "telephone_number": "850-316-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHERSON",
        "first_name": "JACOB",
        "middle_name": "REUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Stephens, PA-C
• Derek Casey Stephens, PHARMD
• Teri Kirkland Stephens, CCC/SLP
• Emily Stephenson, PNP
• Libertie Stephenson, FNP
• Douglas Scott Sterban, DC
• Stern Family Chiropractic, LLC
• Jason Eric Stern, D.C.
• Danielle Carroll Sterner, MS,RD
• Leif Erik Sternung, APRN

• Student in an Organized Health Care Education/Training Program in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.