Active NPI
Kristy Stevenson, RDN
- Registered Dietitian
- Novi, MI
National Provider Identifier
1902427420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 47601 Grand River Ave Ste B136
Novi, MI 48374-1233 - Phone
- (248) 465-3940
- Fax
- (248) 465-3941
- NPI assigned
- May 6, 2020
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
47601 Grand River Ave Ste B136
Novi, MI 48374-1233
Mailing address
1427 Woodbridge LN
Wixom, MI 48393-1673
Phone (248) 320-5865
Other practice location 1
1427 Woodbridge Ln
Wixom, MI 48393-1673
Phone (248) 320-5865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | athenanet.athenahealth.com | Health Information Exchange (HIE) | Henry Ford Cornerstone Medical Group |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1902427420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 WOODBRIDGE LN",
"city": "WIXOM",
"state": "MI",
"postal_code": "483931673",
"telephone_number": "248-320-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE STE B136",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-465-3940",
"fax_number": "248-465-3941"
}
],
"practiceLocations": [
{
"address_1": "1427 Woodbridge Ln",
"address_purpose": "LOCATION",
"city": "Wixom",
"state": "MI",
"postal_code": "483931673",
"country_code": "US",
"telephone_number": "248-320-5865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENSON",
"first_name": "KRISTY",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2023-11-27",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "athenanet.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Henry Ford Cornerstone Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "47601 Grand River Ave Ste B136",
"city": "Novi",
"state": "MI",
"country_code": "US",
"postal_code": "483741233",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.