CARRIE STEPHENS (NPI# 1063802809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802809 |
| Entity Type | Individual |
| Full Name | CARRIE STEPHENS |
| Other Name | CARRIE HAYDENE |
| Credential | CTRS |
| Practice Address |
3353 Lousma Dr Se Wyoming MI 49548-2251 |
| Practice Telephone | 6162416258 |
| Mailing Telephone | 6162416258 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 52286 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275072043 | Carrie Elizabeth Stephens | Speech-Language Pathologist | 608 Mclarty Rd, Oxford, MS 38655-4500 | 2017-02-14 |
| 1457808677 | Carrie Emily Stephens | Physician Assistant | 5131 S Cottonwood St # L-2, Murray, UT 84107-5701 | 2016-09-06 |
| 1285636084 | Carrie Kimble Stephens | Optometrist | 244 Grand Central Mall, Vienna, WV 26101-1105 | 2005-08-11 |
| Street Address |
3353 LOUSMA DR SE |
| City | WYOMING |
| State | MI |
| Zip Code | 49548-2251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255665352 | Lindsey Diane Taylor-durfee | Registered Nurse | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2009-09-23 |
| 1750935599 | Rachel Lantigua | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-07-30 |
| 1144886920 | Jasmin Gaytan | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-05-16 |
| 1992368880 | Karter Huber | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-04-17 |
| 1073073839 | Jeannette High | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-20 |
| 1487113346 | Shawna Johnson | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-03-19 |
| 1447724521 | Yagin An | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2019-01-11 |
| 1376013029 | Kaymi Rachelle Hargrove | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-26 |
| 1851869739 | Inez Rubio Escareno IIi | Case Manager/Care Coordinator | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-11-08 |
| 1720554181 | Megan Nicole Staat | Social Worker | 3353 Lousma Dr Se, Wyoming, MI 49548-2251 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1700117827 | Kristine L Kading | Recreation Therapist | 248 Thurston St Sw, Wyoming, MI 49548-3060 | 2010-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
| 1649838897 | Felicia M Christopher | Recreation Therapist | 4866 Lisa Ct, Trenton, MI 48183-5701 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.