Kathleen Stevens, RN, MSN, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11261 Issued in CA

Practice address

15701 Rockfield Blvd
Irvine, CA 92618-2801

Phone

(949) 457-9900

Fax

(949) 457-9922

NPI assigned

Feb 16, 2012

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

• Mrs. Kathleen Tripp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1912270232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KATHLEEN",
        "credential": "RN, MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "TRIPP",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sandra Nicole Stevens
• Christina-Marie Stevenson, BCBA
• Ambyr Nycole Stewart, B.A.
• Sienna Elizabeth Stewart
• Sean Sticht

• Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.