Luanne Johnson Stordahl, MS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1111 Menaul Blvd NE
Albuquerque, NM 87107-1614

Phone

(505) 255-5501

Fax

(505) 255-9971

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083837819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 BOLACK DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096353",
            "telephone_number": "505-797-1072",
            "fax_number": "505-255-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MENAUL BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071614",
            "telephone_number": "505-255-5501",
            "fax_number": "505-255-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORDAHL",
        "first_name": "LUANNE",
        "middle_name": "JOHNSON",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora A Stonecipher, DOM, LIC ACUP
• Edward David Stoner Jr., MSW
• Christopher Lane Stong
• Erin Stopani, CNM
• Gina Marie Storch, LCSW
• Nancy Storer
• Denille Marie Storey, MOT R/L
• Luisa Storey
• Nicole Storey
• Sean David Storey

• Developmental Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Developmental Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.