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Alexis Stevenson , LPN

Licensed Practical Nurse β€’ Columbus, OH

Active NPI 1780118455 Individual Practitioner Female Practitioner
Practice location in NPPES

6400 E Broad St Ste 4004th
Columbus, OH 432132086

Call 6146553345 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6400 E Broad St Ste 4004th

Columbus, OH 432132086

Telephone 6146553345
Fax 6143174689
Organization at the Same NPPES Address or Phone
Access Behavioral Llc Facility NPI 1134739444

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

1,043 active clinicians are listed under Licensed Practical Nurse with a practice address in Columbus, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

0% of these 1,043 clinicians have the CMS telehealth indicator.

0% of these 1,043 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-04-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.161145.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 161145

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Pavan Dontineni , MD

Psychiatry & Neurology - Psychiatry

NPI 1790944866

Doctor of Medicine (M.D.)

Maryam Niazi , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063706216

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Messeret Tewolde , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114364668

Certified Nurse Practitioner

Slessor Toh-Fombang

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205509452

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 21, 2020

Registered at 6400 E BROAD ST STE 4004TH, COLUMBUS, OH 432132086 (Tel: 6146553345)

πŸ“
Updated Business Mailing Address April 21, 2020

Registered at 2509 BURGANDY LN, COLUMBUS, OH 432327206 (Tel: 6147499422)

βœ…
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 19, 2017

Registered at 4040 E BROAD ST, WHITEHALL, OH 432131156 (Tel: 6144059500)

πŸ“
Business Mailing Address (Initial Record) April 19, 2017

Registered at 4040 E BROAD ST, WHITEHALL, OH 432131156 (Tel: 6144059500)

πŸ‘€
Provider Name / Credentials (Initial Record) April 19, 2017

Recorded as ALEXIS STEVENSON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Licensed Practical Nurse (license number reported to NPPES: OH LPN.161145.MEDS-IV)

🟒
Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780118455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: April 21, 2020
Sole Proprietor: No

Mailing Address

2509 Burgandy Ln

Columbus, OH 432327206

Phone: 6147499422

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.