Judy L Stevens, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4356P Issued in KY

Practice address

1830 Destiny LN
Bowling Green, KY 42104-1087

Phone

(270) 781-1101

Fax

(270) 781-1120

NPI assigned

Jul 18, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Flat Lick Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Flat Lick, KY
  • NPI 1750317491
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972522340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-781-1101",
            "fax_number": "270-781-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 DESTINY LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041087",
            "telephone_number": "270-781-1101",
            "fax_number": "270-781-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4356P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78013109",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas G. Sternberg, M.D.
• Austin Stethen
• Leita Meredith Stethen, OTR/L
• Jeffrey L Stevens, PT
• Joseph Turner Stevens, DO
• Lauren Grace Stevens
• Anne Reid Stewart, CCC-SLP
• Charisse Stewart
• Christopher Stewart, DC
• Sadreaka Stewart

• Family Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.