JENNIFER STEVENS (NPI# 1043412893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043412893 |
| Entity Type | Individual |
| Full Name | JENNIFER STEVENS |
| Credential | MD |
| Practice Address |
416 E Locust St Chatsworth IL 60921 |
| Mailing Address |
1855 Tanner Way Harriman TN 37748-8302 |
| Practice Telephone | 8156353177 |
| Mailing Telephone | 8653766272 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-123950 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 125-053128 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP # | 833230 | 01 | |
| TN | Q057477 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1855 Tanner Way Ste 200, Harriman, TN 377488331 | 8653766272 | 8653742100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061242 | Jennifer Ruth Stevens | Behavior Technician | 9808 Shallow Creek Loop Apt 102, Manassas, VA 20109-5336 | 2020-07-28 |
| 1649749516 | Jennifer Stevens | Counselor | 186 Hunters Lake Ct, Eureka, MO 63025-1049 | 2018-11-20 |
| 1013448869 | Jennifer Stevens | Speech-Language Pathologist | 11436 Nw 130th St, Piedmont, OK 73078-3030 | 2017-03-23 |
| 1639626385 | Jennifer Stevens | Registered Nurse | 710 Guam Cir, Beaufort, SC 29902-6209 | 2016-09-09 |
| 1114474475 | Jennifer Lindsley Stevens | Pharmacist | 11 Carriedale Ln, Kennebunk, ME 04043-6041 | 2016-09-04 |
| 1568720670 | Jennifer Stevens | Occupational Therapy Assistant | 5 Wyman St, Webster, MA 01570-3562 | 2012-04-26 |
| 1396001517 | Jennifer Rose Stevens | Nurse Practitioner | 347 Fairview Street, Silverton, OR 97381 | 2012-04-03 |
| 1437457819 | Jennifer Morton Stevens | Pharmacist | 240 S Stratford Rd, Winston Salem, NC 27103-1818 | 2011-03-08 |
| 1194054981 | Jennifer S Stevens | Behavioral Analyst | 10450 72nd Ave, Pleasant Prairie, WI 53158 | 2009-12-08 |
| 1588815658 | Jennifer Bowers Stevens | Nurse Practitioner | 11101 Dot, 2200 Childrens Way, Nashville, TN 37232-0005 | 2008-10-07 |
| Street Address |
416 E LOCUST ST |
| City | CHATSWORTH |
| State | IL |
| Zip Code | 60921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669565800 | Vicki Day | Nurse Practitioner | 416 E Locust, Chatsworth, IL 60921 | 2006-10-02 |
| 1609803618 | Saint James Hospital | Nurse Practitioner | 416 E. Locust Street, Chatsworth, IL 60921 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476472 | Enseguida Hospice Care, Inc. | Hospice Care, Community Based | 20945 Devonshire St Ste 105, Chatsworth, CA 91311-2370 | 2020-10-29 |
| 1568060283 | City Home Health Care Inc | Home Health | 21106 Devonshire St, Chatsworth, CA 91311-2316 | 2020-10-14 |
| 1669070702 | Angels Visit Hospice | Hospice Care, Community Based | 21006 Devonshire St Ste 203, Chatsworth, CA 91311-2384 | 2020-10-12 |
| 1801493218 | Karin Homehealth Care Inc | Home Health | 20149 Devonshire St Suite 210a, Chatsworth, CA 91311 | 2020-10-08 |
| 1629675038 | Bright Universe Hospice Care Inc | Hospice Care, Community Based | 20149 Devonshire St Suite 210b, Chatsworth, CA 91311 | 2020-10-08 |
| 1194330795 | Wellpharma Rx Pharmacy LLC | Pharmacy | 21102 Devonshire St, Chatsworth, CA 91311-2316 | 2020-09-10 |
| 1306457981 | Vanessa Natalie Shaverdan | Student in an Organized Health Care Education/Training Program | 9916 Nita Ave, Chatsworth, CA 91311-2721 | 2020-08-16 |
| 1649880089 | Optuma Home Health Agency, Inc | Hospice Care, Community Based | 9909 Canoga Ave Ste H, Chatsworth, CA 91311-0907 | 2020-07-31 |
| 1467061077 | Sukhpreet Kaur | Physician Assistant | 10105 Brooke Ave, Chatsworth, CA 91311-2806 | 2020-07-29 |
| 1699383000 | Andrea Yin-ming Harwig | Physical Therapist | 21237 Lassen St Unit 3, Chatsworth, CA 91311-6831 | 2020-07-21 |
| Find all providers in CHATSWORTH | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295474 | Northwest Valley Family Medical Clinic, Inc. | Family Medicine | 21119 Devonshire St, Chatsworth, CA 91311 | 2006-10-04 |
| 1679547061 | Charles L Tapley | Family Medicine | 824 Gi Maddox Pkwy, Chatsworth, GA 30705-2147 | 2006-02-14 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| 1285620831 | James M Brown | Family Medicine | 320 W Market St, Chatsworth, GA 30705-2843 | 2005-09-20 |
| 1679007439 | Holly Lynch | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2017-04-18 |
| 1497014633 | Alexandra Feliciano Aponte | Family Medicine | 800 Gi Maddox Pkwy, Chatsworth, GA 30705-4008 | 2012-05-09 |
| 1487947644 | Healthy Family Medical Clinic, Inc. | Family Medicine | 21740 Devonshire St, Chatsworth, CA 91311-2903 | 2011-05-20 |
| 1487952123 | Robert T. Cook Md PC | Family Medicine | 100 Hospital Drive, Chatsworth, GA 30705-0430 | 2011-03-04 |
| 1174758023 | Magnolia Family Medicine | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2009-05-21 |
| 1962623652 | Martina Barte Masongsong | Family Medicine | 21119 Devonshire St, Chatsworth, CA 91311 | 2007-05-01 |
| Find all providers in CHATSWORTH | ||||
| City | CHATSWORTH |
| Zip Code | 60921 |
Please comment or provide details below to improve the information on JENNIFER 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.