MS. KRISTIN BROOK STEVENS (NPI# 1245255454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245255454 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN BROOK STEVENS |
| Credential | OB GYN, NP |
| Practice Address |
404 N Cayuga Street Ithaca NY 14850-4219 |
| Practice Telephone | 6072770969 |
| Practice Fax Number | 6072773242 |
| Mailing Telephone | 6072770969 |
| Mailing Fax Number | 6072773242 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 22 438468 | NY | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
F360284-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE GROUP | AA1307 | 01 |
| NY | 02781744 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144532318 | Kristin Stevens | Dentist | 5873 N State Road 135, Greenwood, IN 46143-5616 | 2010-07-05 |
| 1811034333 | Kristin Elizabeth Stevens | Speech-Language Pathologist | 1835 Paradise Ridge Dr, Round Rock, TX 78664-5628 | 2007-01-31 |
| 1780661413 | Kristin A Stevens | General Practice | Box 357051 Nasni, Comnavairfor, San Diego, CA 92135-7051 | 2005-12-23 |
| 1962882696 | Kristin Stevens | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp340, Minnetonka, MN 55305-5359 | 2015-06-08 |
| 1033598669 | Kristin Leanne Stevens | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 396, Minneapolis, MN 55455-0341 | 2015-05-28 |
| 1518208412 | Kristin Nicole Stevens | Case Manager/Care Coordinator | 50 Vantage Point Dr Ste 4, Rochester, NY 14624-1180 | 2013-03-04 |
| 1164661898 | Kristin E. Stevens | Massage Therapist | 16923 96th Ave Ne, Bothell, WA 98011-1937 | 2009-02-19 |
| 1689690737 | Kristin R Stevens | Dermatology | 417 Sw 117th Ave, Suite 210, Portland, OR 97225-5924 | 2006-07-14 |
| 1982654752 | Kristin Marie Stevens | Pediatrics | 6465 S Yale Ave, Suite 715, Tulsa, OK 74136-7822 | 2006-05-11 |
| Street Address |
404 N CAYUGA STREET |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588128 | Susan Diane Mueller | Registered Nurse | 404 N Cayuga Street, Ithaca, NY 14850 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473358 | Kaylin King | Nurse Practitioner | 940 8th Ave, New York, NY 10019-4287 | 2020-06-26 |
| 1457780116 | Yelena Pankova | Nurse Practitioner | 2236 E 13th St, Brooklyn, NY 11229-4304 | 2013-11-04 |
| 1144661026 | Euree Chun | Nurse Practitioner | 545 First Avenue, New York, NY 10016-6930 | 2013-07-08 |
| 1588907026 | Theresa Margaret Salas | Nurse Practitioner | 1500 Route 112 Bldg 11, Suites A-b, Port Jefferson Station, NY 11776-3184 | 2013-04-03 |
| 1659632909 | Kathleen Louise Wunderlich | Nurse Practitioner | 66 Brinker Hoff Street, Planned Parenthood of The North Country New York, Inc., Plattsburgh, NY 12901 | 2012-06-04 |
| 1437477650 | Elisabeth Markus-sullivan | Nurse Practitioner | 175 7th Ave, Brooklyn, NY 11215-2647 | 2010-05-12 |
| 1710201371 | Amy L Kidney | Nurse Practitioner | 4230 Hempstead Tpke Ste 208, Bethpage, NY 11714-5700 | 2010-03-24 |
| 1346487253 | Marion Fischer Lenihan | Nurse Practitioner | 374 Sarles St, Mount Kisco, NY 10549-4740 | 2009-01-14 |
| 1336396886 | Lucille Anne Coady | Nurse Practitioner | 909 Culver Rd, Rochester, NY 14609-7141 | 2008-08-26 |
| 1508026667 | Loriellen E Lorusso | Nurse Practitioner | 5225 Route 347 Ste 70, Port Jefferson Station, NY 11776-2061 | 2008-06-12 |
| 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.