Lisa Schlageter Stadalius, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN187814 NP Issued in GA

Practice address

1000 Chastain Rd NW
52
Kennesaw, GA 30144-5588

Phone

(770) 423-6642

NPI assigned

Aug 26, 2007

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": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188086400000",
    "number": "1104019801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CANOPY LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300661542",
            "telephone_number": "770-591-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHASTAIN RD NW",
            "address_2": "52",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445588",
            "telephone_number": "770-423-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADALIUS",
        "first_name": "LISA",
        "middle_name": "SCHLAGETER",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2007-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN187814 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aarthi Sridhar, MD
• St.Joe'S Homecare LLC
• St.Joe'S Homecare LLC
• St.Joe'S Homecare LLC
• Natalie Stabell
• Brenna Jill Stallworth, PT
• Jessica Marie Standard, M.ED, CCC-SLP
• Daejia Stanley
• Lydia Prichard Stansell
• Lori Stanton, CRNA

• Women's Health Nurse Practitioner in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.