Fairuza Magsum Stevenson, NP STUDENT

Primary specialty

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

License

RN00139022 Issued in WA

Practice address

700 E Mill Plain Blvd
Vancouver, WA 98663

Phone

(360) 254-4040

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Faia Magsum Stevenson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1912234659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 NE SALMON CREEK AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986869600",
            "telephone_number": "360-882-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-254-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "FAIRUZA",
        "middle_name": "MAGSUM",
        "credential": "NP STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN00139022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAIA",
            "last_name": "STEVENSON",
            "middle_name": "MAGSUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Stevens
• Michael Sergio Stevens, BS
• Sara Stevens, LMT
• Stevenson Group Inc.
• Chandler E Stevenson, MS
• Kalena M Stevenson, PT
• Maria Stevenson
• Karisa G Steward
• Stewart Health Bodywork & Training LLC.
• Andrew Stewart

• Student in an Organized Health Care Education/Training Program in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.