MS. KRISTIN BROOK STEVENS OB GYN, NP
NPI 1245255454
Nurse Practitioner - Obstetrics & Gynecology in Ithaca, NY

Q: What is Kristin Stevens's NPI number?

The NPI number for Kristin Stevens is 1245255454. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Kristin Stevens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Stevens was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2006

404 N CAYUGA STREET, ITHACA, NY 14850(607) 277-0969(607) 277-3242 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kristin Brook Stevens Ob Gyn, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTIN BROOK STEVENS OB GYN, NP (NPI 1245255454) is an individual obstetrics & gynecology provider in Ithaca, New York, licensed in New York (F360284-1) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1245255454

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMS. KRISTIN BROOK STEVENSCredential: OB GYN, NP

Location Address404 N CAYUGA STREETIthaca, NY 14850-4219

Mailing Address404 N Cayuga StreetIthaca, NY 14850-4219 · (607) 277-0969 · Fax (607) 277-3242

Phone(607) 277-0969

Fax(607) 277-3242

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1245255454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in NY · F360284-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 22 438468 (NY)

404 N CAYUGA STREET, Ithaca, NY 14850

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Other Identifiers 3

OtherAA1307NY · Medicare Group

Medicare UPINCC4041NY

Medicaid02781744NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN DIANE MUELLER RN CDE

Registered Nurse (Diabetes Educator)

404 N CAYUGA STREET
ITHACA, NY 14850

Tompkins County (607) 277-0969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Stevens's NPI number?

The NPI number for Kristin Stevens is 1245255454. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kristin Stevens located?

Kristin Stevens practices at 404 N Cayuga Street, Ithaca, NY 14850. The listed phone number is (607) 277-0969.

What is Kristin Stevens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Kristin Stevens was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.