LISA PETERSON STEVENS NP NPI 1619519469

NPI Information

NPI: 1619519469
Provider Name: LISA PETERSON STEVENS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VALLEY MENTAL HEALTH INCORPORATED

PECOS Registration: Yes

Address:
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124
Phone: (888) 949-4864
Get Directions

Lisa Peterson Stevens, NP is a family nurse practitioner in Salt Lake City, UT with 5 years of experience. Lisa Peterson Stevens, NP NPI is 1619519469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84124-550
Phone: (888) 949-4864

The NPI 1619519469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2019 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		8739478-3102	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	8739478-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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