DR. ERICA LYNN STEVENS (NPI# 1417375197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417375197 |
Entity Type | Individual |
Full Name | DR. ERICA LYNN STEVENS |
Credential | M.D. |
Practice Address |
411 E Chestnut St Louisville KY 40202-1713 |
Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
Practice Telephone | 5025884940 |
Practice Fax Number | 5025887712 |
Mailing Telephone | 5022725063 |
Mailing Fax Number | 5022725339 |
Enumeration Date | 2014-03-31 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 53456 | KY | Allopathic & Osteopathic Physicians |
Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
53456 | KY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | MT212692 | PA | Student, Health Care |
N | 390200000X | Student in an Organized Health Care Education/Training Program | MD461129 | PA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | FULL UNRESTRICTED MEDICAL LICENSE | MD461129 | 01 |
PA | MEDICAL TRAINING LICENSE | MT212692 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174071955 | Erica Dawn Gronau Stevens | Occupational Therapist | 3012 Country Club Pkwy, Harlan, IA 51537-2409 | 2016-09-21 |
1144790692 | Erica Stevens | Peer Specialist | 113 E F St, Tehachapi, CA 93561 | 2018-11-27 |
1558898650 | Erica Stevens | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2017-05-19 |
1811236433 | Erica Louise Stevens | Nurse Anesthetist, Certified Registered | 2 Progress Point Ct, O Fallon, MO 63368-2208 | 2013-02-01 |
1174882526 | Erica Ilena Stevens | Dermatology | 1500 East Medical Center Drive, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109-5314 | 2012-05-04 |
1992823504 | Erica Lynn Stevens | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2007-03-26 |
1447213269 | Erica Elsing Stevens | Family Medicine | 2750 E Beltline Ave Ne, Mc 845, Grand Rapids, MI 49525-8614 | 2006-04-11 |
Street Address |
411 E CHESTNUT ST |
City | LOUISVILLE |
State | KY |
Zip Code | 40202-1713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497751044 | Lisa Rachelle Klein | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2005-06-27 |
1629686977 | Kennedy Paige Richardson | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-07-22 |
1487279089 | Laura Allen | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-06-10 |
1104448927 | Daniel Winn Serber | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-05-14 |
1952941924 | Sarah Hayden | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2020-01-08 |
1477190635 | Bethany Ann Plummer | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-12-06 |
1578123444 | Hallie Shpack Lyninger | Genetic Counselor, MS | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-06-13 |
1255994968 | Lori Rae Hibbs | Social Worker | 411 E Chestnut St, Louisville, KY 40202-1713 | 2019-04-18 |
1255857421 | Blakley E Hackman | Nurse Practitioner | 411 E Chestnut St, Louisville, KY 40202 | 2017-08-18 |
1972026797 | Lara Marie Isaacs | Speech-Language Pathologist | 411 E Chestnut St, Louisville, KY 40202-1713 | 2017-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
Find all providers in zip 40202 |
Taxonomy Code | 2080P0214X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Pulmonology |
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861759813 | University of Louisville Research Foundation | Pediatrics | 332 W Broadway, Suite 1100, Louisville, KY 40202-2130 | 2012-04-16 |
1184980963 | University of Louisville Physicians, Inc. | Pediatrics | 234 E Gray St, Suite 270, Louisville, KY 40202-1900 | 2012-04-06 |
1033270434 | Pediatric Pulmonary Medicine, Psc | Pediatrics | 234 East Gray Street, Suite 270, Louisville, KY 40202 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619107042 | Krishna Pancham | Pediatrics | Dept of Pediatric Pulmonology Kentucky, 740 S. Limestone Street, Lexington, KY 40536-0284 | 2009-07-20 |
1245259035 | Michael I Anstead | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-19 |
1275559619 | Jamshed Firoze Kanga | Pediatrics | 740 S Limestone, Lexington, KY 40536-0001 | 2006-07-15 |
City | LOUISVILLE |
Zip Code | 40202 |
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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.