Kristin Sue Sturdevant, PHD LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00452 Issued in IA

Practice address

700 S Dubuque St
Iowa City, IA 52240-4202

Phone

(319) 354-4552

NPI assigned

Nov 6, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1902985138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 S 1ST AVE.",
            "address_2": "STE F",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52240",
            "telephone_number": "319-354-4552",
            "fax_number": "319-512-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DUBUQUE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404202",
            "telephone_number": "319-354-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDEVANT",
        "first_name": "KRISTIN",
        "middle_name": "SUE",
        "credential": "PHD LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544261000IA",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544261000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann Stueland, ARNP
• Laura Stulken, PA-C
• Timothy Dale Stultz, BS
• Krista Stumme, MD
• Elizabeth C Stump, RD, LD
• Nicole Stutzman
• Justin M Suarez, PHARM.D.
• Tricia Lynn Suarez, PHARM.D
• Sriya S Subramani, MD
• Umashankar Subramaniam, MD

• Mental Health Counselor in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.