Individual provider Active NPI

Stefan Stewart

  • Driver
  • Bastrop, LA
National Provider Identifier
1962069641
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
007854006 Issued in LA
Practice address
510 Gunby Ave
Bastrop, LA 71220-4408
Phone
(318) 376-7581
Fax
(318) 974-3312
NPI assigned
May 28, 2019
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 007854006 LA Primary

Addresses

Primary practice location

510 Gunby Ave
Bastrop, LA 71220-4408

Mailing address

510 Gunby Ave
Bastrop, LA 71220-4408
Phone (318) 376-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007854006LAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
C&S Transportation Service LLC CurrentSince Jul 28, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1962069641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GUNBY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204408",
            "telephone_number": "318-376-7581",
            "fax_number": "318-974-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GUNBY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204408",
            "telephone_number": "318-376-7581",
            "fax_number": "318-974-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "STEFAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "007854006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.