1275968216 NPI number — REBECCA SPRING STEVENS FNP-C

Table of content: DR. ZHI NENG FENG O.D. (NPI 1013375146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275968216 NPI number — REBECCA SPRING STEVENS FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEVENS
Provider First Name:
REBECCA
Provider Middle Name:
SPRING
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TRAVERS
Provider Other First Name:
REBECCA
Provider Other Middle Name:
SPRING
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275968216
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
571 S ALLEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLAT ROCK
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28731-9447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-692-6178
Provider Business Mailing Address Fax Number:
855-356-3998

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
571 S ALLEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLAT ROCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-692-6178
Provider Business Practice Location Address Fax Number:
855-356-3998
Provider Enumeration Date:
09/10/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  5006422 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 5006422 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 212802 . This is a "RN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5006422 . This is a "NURSE PRACTITIONER - FAMILY" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com