Individual provider Active NPI

Linda Marion Stevenson, PHD, RN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982852422
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
117158 Issued in TX
Practice address
3133 E Lemmon Ave
Dallas, TX 75204-1411
Phone
(214) 599-2108
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 117158 TX Primary

Addresses

Primary practice location

3133 E Lemmon Ave
Dallas, TX 75204-1411

Mailing address

3133 E Lemmon Ave
Dallas, TX 75204-1411
Phone (214) 599-2108

Other practice location 1

17101 Preston Rd
Ste 115
Dallas, TX 75248-1331
Phone (972) 616-4000

Other identifiers 1

IdentifierTypeStateIssuer
117158OtherTXAPRN LICENSE

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)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
117158TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982852422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 E LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041411",
            "telephone_number": "214-599-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 E LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041411",
            "telephone_number": "214-599-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17101 Preston Rd",
            "address_2": "Ste 115",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752481331",
            "country_code": "US",
            "telephone_number": "972-616-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "LINDA",
        "middle_name": "MARION",
        "credential": "PHD, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "117158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "117158",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.