Jorian Mariah Stevenson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15378 Issued in TX

Practice address

4514 Cornell St Ste B
Amarillo, TX 79109-5801

Phone

(806) 322-0747

NPI assigned

Aug 4, 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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivrs Healthcare

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1134994098

  Single Specialty

  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1881204998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CORNELL STREET",
            "address_2": "SUITE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096329",
            "telephone_number": "806-322-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 CORNELL ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095801",
            "telephone_number": "806-322-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JORIAN",
        "middle_name": "MARIAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven C. Schneider, PHD, PC
• David Scott Stevener, M.D.
• Alexandra Ashley Stevens, LPC
• Chelsea Beth Stevens, FNP-C
• Mark E Stevens, M.D.
• Reagan Stevenson
• Clay L. Stewart, M.D.
• Crystal Laneigh Stewart, MD
• Jennifer Michelle Stewart, MA
• Joshua Stewart, DNP, CRNA

• Physician Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.