Stevens Sleep Clinic LLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

STEVENS SLEEP CLINIC LLC

Practice address

11881 W 112TH St
Overland Park, KS 66210-2717

Phone

(913) 754-3275

NPI assigned

Feb 4, 2022

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Suzanne Stevens, MDNPI 1811931231

Title

Owner

Phone

(913) 244-5805

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Suzanne Stevens, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Overland Park, KS
  • NPI 1811931231
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1922752369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 LONGVIEW RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189284",
            "telephone_number": "913-244-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11881 W 112TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102717",
            "telephone_number": "913-754-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENS SLEEP CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-244-5805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811931231",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Boyd Sterner, MD
• Steven Dreesman LLC
• Steven G. Hull, MD, LLC
• Steven J Quade D C P a
• Steven L Hechler DDS Ms PA
• Janelle Bernadette Stevens, M.A., CCC-SLP
• Linly C Stevens, PA-C
• Mary Suzanne Stevens, M.D.
• Samantha Nicole Stevens
• Jamie Stewart

• Sleep Medicine (Psychiatry & Neurology) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.