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Sha'Tara L Stevenson

Case Manager/Care Coordinator in Barstow, CA. Individual provider (NPI-1).

NPI number1124536073
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1124536073
Entity type
Individual (NPI-1)
Name
Sha'Tara L Stevenson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 12, 2018
Last updated
Mar 17, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

309 E Mountain View St Ste 101102
Barstow, CA 92311-2814

Phone 760-256-7279

Mailing address

Po Box 1927
Big Bear Lake, CA 92315-1927

Phone 909-866-3228

Other practice locations

309 E Mountain View St Ste 100
Barstow, CA 92311-2814

Phone 760-256-7279

309 E Mountain View St Ste 101102
Barstow, CA 92311-2814

Phone 760-269-2697

755 E Virginia Way Apt 134
Barstow, CA 92311-3964

Phone 760-269-2697

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Barstow, CA

All 23 Case Manager/Care Coordinator providers in Barstow · All 759 providers in Barstow

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