KYLEEANN SOPHIA STEVENS (NPI# 1427234475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427234475 |
| Entity Type | Individual |
| Full Name | KYLEEANN SOPHIA STEVENS |
| Credential | M.D. |
| Practice Address |
100 Freeman Dr Saint Peter MN 56082-3504 |
| Mailing Address |
8271 Spring Lake Dr Shakopee MN 55379-5517 |
| Practice Telephone | 5079852009 |
| Mailing Telephone | 7032441958 |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
58689 | MN | Allopathic & Osteopathic Physicians |
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD036820 | DC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
58689 | MN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD036820 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
100 FREEMAN DR |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011528 | Andrea Richard | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-07-29 |
| 1457977373 | Robert James Haight | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-17 |
| 1881219723 | Jodi Lynn Meerbeek | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-16 |
| 1316584832 | Jessica Rae Waldron | Marriage & Family Therapist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-12-03 |
| 1992349153 | Joseph Samuel Owen | Registered Nurse | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-10-31 |
| 1639632219 | Maria B Sargeant | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-04-10 |
| 1922568641 | Michelle Marie Dick | Social Worker | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-03-20 |
| 1871065151 | Julie Renee Nordquist | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-12-26 |
| 1841781226 | Elizabeth Ann Marti | Counselor | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-05-22 |
| 1356851372 | Kyle Yerks | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644682 | David Scott Johnson | Psychiatry & Neurology | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831435007 | Carl Phillip Malmquist | Psychiatry & Neurology | 5010 Bruce Ave, Minneapolis, MN 55424-1318 | 2012-12-17 |
| 1073535977 | Kristine Elizabeth Wiese | Psychiatry & Neurology | 2277 Highway 36 W, Roseville, MN 55113-3804 | 2006-07-23 |
| 1407481591 | Marsha M Nelson | Psychiatry & Neurology | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-09 |
| 1801312418 | Groundwork Psychiatry, LLC | Psychiatry & Neurology | 2419 Nicollet Ave, Minneapolis, MN 55404-3450 | 2017-08-15 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
| 1639438575 | Matthew Reid Kruse | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2012-05-13 |
| 1518152172 | Frederick William Houts | Psychiatry & Neurology | 2419 Nicollet Ave, Minneapolis, MN 55404 | 2007-09-07 |
| 1003930124 | Mark Leon Willenbring | Psychiatry & Neurology | 360 Sherman St, Ste 100, Saint Paul, MN 55102-2564 | 2007-03-16 |
| 1841381910 | Jennifer Anderson Service | Psychiatry & Neurology | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2006-09-27 |
| 1760583140 | Ian James Heath | Psychiatry & Neurology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
Please comment or provide details below to improve the information on KYLEEANN SOPHIA STEVENS.
| 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.