Kristen Nicole Stephenson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

61016815 Issued in WA

Practice address

19701 NE 399TH St
Amboy, WA 98601-3236

Phone

(360) 247-5857

NPI assigned

Jan 27, 2023

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1902512445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27510 NE ROTSCHY MILL RD",
            "city": "YACOLT",
            "state": "WA",
            "postal_code": "986755307",
            "telephone_number": "360-980-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 NE 399TH ST",
            "city": "AMBOY",
            "state": "WA",
            "postal_code": "986013236",
            "telephone_number": "360-247-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "61016815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Elizabeth Brown
• Julia Kay Chipman, RN
• Helena Victoria Green, MA, DIPL.M.O.
• Healthy Roots Clinic LLC
• Anaheed Jackson, ND
• Megan Wilder
• David Gerard Young, ND

• All providers in Amboy, WA
• Home Health Agency in Washington

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

Verify at the official NPI Registry.