Stacie Lynn Krom, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

277782-1 Issued in NY

Practice address

3 Charles St
Ellenville, NY 12428-2303

Phone

(321) 946-4541

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1003461856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 ROUTE 209",
            "city": "KERHONKSON",
            "state": "NY",
            "postal_code": "124462957",
            "telephone_number": "321-946-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHARLES ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282303",
            "telephone_number": "321-946-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROM",
        "first_name": "STACIE",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidyadhara A Kagali, M.D.
• Allana Kelsey, LPN
• Latisha Kentop, LMSW
• Patricia Kjos, R.N.
• Barbara Komsic, LMSW
• Gay Kuehnel-Hisatake, LCSWR
• Smita Sinha Kumar, MD
• Laura Kyvik
• Frank Lancellotti, MD
• Christina Langan-Heim, LCSW

• Licensed Practical Nurse in Ellenville, NY
• Providers in Ellenville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.