Individual provider Active NPI

Kierra Stewart, RN

  • Registered Nurse
  • Denham Springs, LA
National Provider Identifier
1992158802
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
147991 Issued in LA
Practice address
25678 Palmwood CT
Denham Springs, LA 70726-6598
Phone
(225) 308-4553
Fax
(225) 208-7005
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 147991 LA
School Registered Nurse 163WS0200X 147991 LA
Case Manager/Care Coordinator 171M00000X
Registered Nurse 163W00000X 147991 LA Primary
Administrator Registered Nurse 163WA2000X 147991 LA
Case Management Registered Nurse 163WC0400X 147991 LA
Home Health Registered Nurse 163WH0200X 147991 LA
Continuing Education/Staff Development Registered Nurse 163WC1600X 147991 LA
Gerontology Registered Nurse 163WG0600X 147991 LA

Addresses

Primary practice location

25678 Palmwood CT
Denham Springs, LA 70726-6598

Mailing address

25678 Palmwood CT
Denham Springs, LA 70726-6598
Phone (225) 308-4553

Other practice location 1

1130 S Range Ave Ste C
Denham Springs, LA 70726-4827
Phone (225) 308-4553 ext. 1

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
147991LAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Med Services LLC Case Management CurrentSince Mar 16, 2021 Accepting new patients

Locations

1130 S Range Ave
Ste C
Denham Springs, LA 70726
Phone (225) 308-4553

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1992158802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25678 PALMWOOD CT",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266598",
            "telephone_number": "225-308-4553",
            "fax_number": "225-208-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25678 PALMWOOD CT",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266598",
            "telephone_number": "225-308-4553",
            "fax_number": "225-208-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 S Range Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264827",
            "country_code": "US",
            "telephone_number": "225-308-4553 x1",
            "fax_number": "225-208-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIERRA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "147991",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "LA",
            "license": "147991",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "LA",
            "license": "147991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.